| NPI | 1659425718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A MUNOZ Manager 406-721-6017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1063) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-03-07 |