Superior Specialty Pharmacy of Montana, LLC

NPI #1679977433 in Kalispell, Montana

Provider Information

NPI Number
1679977433
Entity Type
Organization
Organization Name
Superior Specialty Pharmacy of Montana, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SUPERIOR SPECIALTY PHARMACY OF MONTANA, LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Oct 22, 2014
Last Updated
Sep 23, 2019

Practice Location

Address
20 FOUR MILE DR STE 4
State
Montana
ZIP Code
59901-2644
Phone
(406) 752-0499

Authorized Official

Name
DAVID GRADY
Title
MANAGING MEMBER/OWNER
Phone
(406) 752-0440

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy

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