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Suppliers Pharmacy

Provider NPI: 1407877475

Organization Information:
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


PrimaryCodeCategory/DescriptionStateLicense Number

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 3336C0003X





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