| NPI | 1750260477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD GRAY Chairman 406-315-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |