| NPI | 1598419871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBI ANN FRIELING Pharmacist In Charge 406-781-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |