| NPI | 1780135186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN MELVIN Pharmacy Manager 406-721-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MT PHA-PHA-LIC-5221) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |