Montana Cvs Pharmacy LLC

NPI #1699719062 in Missoula, Montana

Provider Information

NPI Number: 1699719062
Entity Type: Organization
Organization Name: Montana Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 16, 2006
Last Updated: May 26, 2015

Practice Location

Address: 1902 BROOKS ST
City: Missoula
State: Montana
ZIP Code: 59801-6644
Phone: (406) 728-1380

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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