| NPI | 1669040135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH MATOVICH Certified Pharmacy Technician 406-860-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-14 |