# SUPERIOR SPECIALTY PHARMACY OF MONTANA, LLC

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

## Provider details

- **NPI number:** 1285517268
- **Authorized official:** HEATHER PEACOCK VA (GENERAL MANAGER)
- **Authorized official phone:** (406) 752-0440

## Contact information

- **Practice address:** 630 N LAST CHANCE GULCH, STE 1100 ROOM 1111, HELENA, MT 59601-3551
- **Practice address phone:** (406) 752-0440
- **Mailing address:** 630 N LAST CHANCE GULCH STE 1100, STE 1100 ROOM 1111, HELENA, MT 59601-3551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/28/2025
- **Last updated:** 04/21/2026