NPI | 1982709044 |
---|---|
Doing Business As | VALLEY DRUG & VARIETY |
Entity Type | Organization |
Authorized Contact | DAN L SEVERSON President 406-777-5591 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1054) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MT 1054) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-08-22 |