Mothers' Milk Bank of Montana

NPI #1407361736 in Missoula, Montana

Provider Information

NPI Number: 1407361736
Entity Type: Organization
Organization Name: Mothers' Milk Bank of Montana
Primary Specialty: Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date: Dec 8, 2017
Last Updated: Dec 15, 2017

Practice Location

Address: 2825 STOCKYARD RD STE C1
City: Missoula
State: Montana
ZIP Code: 59808-1502
Phone: (406) 531-6789

Authorized Official

Name: JESSICA WELBORN, PHD
Title: EXECUTIVE DIRECTOR
Phone: (406) 531-6789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X	Primary

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