| NPI | 1548314438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD OVERTON Rph 406-778-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 443) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |