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Organization
SOUTH HILLS PHARMACY INC
Active
Organization
SOUTH HILLS PHARMACY INC
Active
Other names
SOUTH HILLS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RON BERGUM (PRESIDENT)
(406) 443-2540
Entity
Organization
Contact information
Practice address
2600 WINNE AVE, HELENA, MT 59601-4900
(406) 443-2540
(406) 443-2071
Mailing address
PO BOX 6487, HELENA, MT 59604-6487
(406) 443-2540
(406) 443-2071
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
20376
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000129047
—
MT
01
—
2052587
PK
—
Enumeration date
07/22/2006
Last updated
01/02/2014
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