NPI | 1902836927 |
---|---|
Doing Business As | TIMBER RIDGE PHARMACY |
Entity Type | Organization |
Authorized Contact | EDWARD COULSTON PIC 406-363-9003 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1097) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-07-04 |
Last Update Date | 2021-01-13 |