| NPI | 1598867939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BRISBEN Owner 406-787-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1012) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2017-06-09 |