| NPI | 1619292901 |
|---|---|
| Doing Business As | GREEN BEAN COFFEESHOP |
| Entity Type | Organization |
| Authorized Contact | GUY ROBERT SILVERNALE Manager 406-544-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |