# JKW & JIRA INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharmacy 1 at the MHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508385477
- **Authorized official:** MARTIN JARROD WILLEMS R.PH. (PRESIDENT)
- **Authorized official phone:** (406) 601-3392

## Contact information

- **Practice address:** 1245 N 29TH ST STE 100, BILLINGS, MT 59101
- **Practice address phone:** (406) 601-3392
- **Practice address fax:** (877) 743-0496
- **Mailing address:** 2900 12TH AVE N STE 110A, BILLINGS, MT 59101-7506
- **Mailing address phone:** (406) 245-6717
- **Mailing address fax:** (406) 252-4078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHA-PHR-LIC-47362 | MT | — |
| 3336L0003X | Long Term Care Pharmacy | PHA-PHR-LIC-47362 | MT | Yes |

## Other

- **Enumeration date:** 09/12/2017
- **Last updated:** 05/31/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHA-PHR-LIC-47362 | STATE OF MONTANA PHARMACY LICENSE | MT |