| NPI | 1699413369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L. THOMAS Acting Chief Executive Officer 406-247-7130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-07-05 |