| NPI | 1912043522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MITHCELL President 406-683-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 226) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-09-12 |