| NPI | 1912913575 |
|---|---|
| Doing Business As | 5TH AVENUE PHARMACY & GIFT |
| Entity Type | Organization |
| Authorized Contact | GREG PAGE Pharmacist In Charge 406-672-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1223) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-06-15 |