NPI | 1669132379 |
---|---|
Doing Business As | MONTANA RX COMPOUNDERS |
Entity Type | Organization |
Authorized Contact | KELLY MARIE SHIELDS Owner/PIC 406-542-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2021-12-21 |
Last Update Date | 2023-03-08 |