NPI | 1679977433 |
---|---|
Doing Business As | BIG SKY SPECIALTY COMPOUNDNG |
Doing Business As | BIG SKY SPECIALTY COMPOUNDING |
Entity Type | Organization |
Authorized Contact | DAVID GRADY Managing Member/Owner 406-752-0440 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1209) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2019-09-23 |