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ANDERSON FAMILY PHARMACY INC

Suppliers Pharmacy

Provider NPI: 1699786103

Organization Information:
Organization Name:  ANDERSON FAMILY PHARMACY INC
Organization is not Subpart
Authorized Official:  STUART  ANDERSON  OWNER  406-761-8781

Practice Location:
2828 10TH AVE S  GREAT FALLS, MT 59405-3241 US
Tel: 406-761-8781  Fax: 406-454-0435

Business Mailing Address:
2828 10TH AVE S  GREAT FALLS, MT 59405-3241 US
Tel: 406-761-8781  Fax: 406-454-0435

NPI Information:
NPI: 1699786103
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MTPHA-PHR-LIC32462

Other Provider Identifiers:

IssuerNumberStateType
0000211633MT05
PK205015701



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



MEDICAL JOBS MT - Page 1

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