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BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC

Suppliers Pharmacy

Provider NPI: 1407877475

Organization Information:
Organization Name:  BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Organization is not Subpart
Authorized Official:  TAMMY  COX  PHARMACY DIRECTOR  406-496-6033

Practice Location:
1145 S MONTANA ST  BUTTE, MT 59701-2857 US
Tel: 406-496-6026  Fax: 406-723-4076

Business Mailing Address:
1145 S MONTANA ST  BUTTE, MT 59701-2857 US
Tel: 406-496-6026  Fax: 406-723-4076

NPI Information:
NPI: 1407877475
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
MTPHA-PHR-LIC-8732
Y3336C0003XSuppliers
Pharmacy
MTPHA-PHR-LIC-8732

Other Provider Identifiers:

IssuerNumberStateType
PK205203801
1407877475MT05



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



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