NPI | 1902817547 |
---|---|
Doing Business As | CENTER FOR HEALTHY AGING PHARMACY |
Doing Business As | ST. JOHN'S PHARMACY |
Entity Type | Organization |
Authorized Contact | AIMEE HILLIS Pharmacy Manager 406-655-5827 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT 1018) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2021-09-07 |