NPI | 1912940297 |
---|---|
Doing Business As | KOOTENAI DRUG |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER HERMES Owner 406-295-4361 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1150) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-14 |
Last Update Date | 2015-02-27 |