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BITTERROOT DRUG INC

Suppliers Pharmacy

Provider NPI: 1043375975

Organization Information:
Organization Name:  BITTERROOT DRUG INC
Organization is not Subpart
Authorized Official:  PETE  SEIFERT  PHARMACIST AND OWNER  406-363-3611

Practice Location:
211 W MAIN ST  HAMILTON, MT 59840-2553 US
Tel: 406-363-3611  Fax: 406-363-0131

Business Mailing Address:
211 W MAIN ST  HAMILTON, MT 59840-2553 US
Tel: 406-363-3611  Fax: 406-363-0131

NPI Information:
NPI: 1043375975
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336M0002XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
N3336L0003XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MT1160
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies

Other Provider Identifiers:

IssuerNumberStateType
805686700ID05
0222534MT05
PK204991801



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



MEDICAL JOBS MT - Page 1

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