NPI | 1639190689 |
---|---|
Doing Business As | SOUTH HILLS PHARMACY INC |
Entity Type | Organization |
Authorized Contact | RON BERGUM President 406-443-2540 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT 20376) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-22 |
Last Update Date | 2014-01-02 |