| NPI | 1609881242 |
|---|---|
| Doing Business As | BERGUM DRUG |
| Entity Type | Organization |
| Authorized Contact | RON BERGUM Owner President 406-443-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 20375) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-01-06 |