| NPI | 1659590172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY G ROTAR Pharmacist 406-587-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MT 1015) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |