| NPI | 1710512058 |
|---|---|
| Doing Business As | PHARMACY 1 AT THE MHC |
| Entity Type | Organization |
| Authorized Contact | MARTIN JARROD WILLEMS PIC 406-601-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |