| NPI | 1932762515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE F BROWNELL CEO 406-434-3110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-04-29 |