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Organization
SUPERIOR SPECIALTY PHARMACY OF MONTANA, LLC
Active
Organization
SUPERIOR SPECIALTY PHARMACY OF MONTANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PEACOCK VA (GENERAL MANAGER)
(406) 752-0440
Entity
Organization
Contact information
Practice address
630 N LAST CHANCE GULCH, STE 1100 ROOM 1111, HELENA, MT 59601-3551
(406) 752-0440
Mailing address
630 N LAST CHANCE GULCH STE 1100, STE 1100 ROOM 1111, HELENA, MT 59601-3551
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
Other
Enumeration date
07/28/2025
Last updated
04/21/2026
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