# TIMBER RIDGE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003841016
- **Authorized official:** LANS RICHARDSON IV (OWNER/PHARMACY TECH)
- **Authorized official phone:** (406) 363-9003

## Contact information

- **Practice address:** 1131 N 1ST ST, HAMILTON, MT 59840-2150
- **Practice address phone:** (406) 363-9003
- **Practice address fax:** (406) 363-9005
- **Mailing address:** 1131 N 1ST ST, HAMILTON, MT 59840-2150
- **Mailing address phone:** (406) 363-9003
- **Mailing address fax:** (406) 363-9005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 1097 | MT | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 01/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0213408 | — | MT |
| 05 | — | 5607030 | — | MT |