| NPI | 1639945983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARLA BLANK Sr. Director Of Therapeutics 406-444-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |