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 |