NPI | 1932241700 |
---|---|
Doing Business As | ENNIS HEALTH MART PHARMACY |
Entity Type | Organization |
Authorized Contact | STACY A CROY Pharmacy Technician/Owner 406-682-4246 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 183500000X Pharmacist (Licence: MT 807) |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2024-02-08 |