| NPI | 1780971036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA W JESSOP Owner 406-370-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MT 1330) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2023-09-18 |