| NPI | 1659504363 |
|---|---|
| Doing Business As | ALPINE RIDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RENEE WILKONSKI-LARSON Owner/PIC 406-370-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1295) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2013-12-13 |