| NPI | 1902576655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM TRAVIS ASHE Owner/Pharmacist 406-250-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |