| NPI | 1821033051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WILHELM Managing Partner 406-727-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MT PHA-PHR-LIC-817) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2018-07-19 |