NPI | 1639435399 |
---|---|
Doing Business As | LOLO DRUG |
Doing Business As | LOLO DRUG LLC |
Entity Type | Organization |
Authorized Contact | COREY ROBERT HEFFERNANA Owner 406-273-2322 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 8859) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-04-06 |
Last Update Date | 2020-05-17 |