Sweetwater, LLC

NPI #1114245867 in Missoula, Montana

Provider Information

NPI Number
1114245867
Entity Type
Organization
Organization Name
Sweetwater, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 5, 2010
Last Updated
May 5, 2010

Practice Location

Address
5707 W HARRIER DR
State
Montana
ZIP Code
59808-5345
Phone
(406) 541-0420

Authorized Official

Name
MR. GABRIEL MCMURRAY
Title
OWNER
Phone
(406) 541-0420

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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