# SIDNEY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SIDNEY HEALTH CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790771699
- **Authorized official:** LYNNE BEYERLE PHARMD RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (406) 488-2131

## Contact information

- **Practice address:** 216 14TH AVE SW, SIDNEY, MT 59270-3519
- **Practice address phone:** (406) 488-2163
- **Practice address fax:** (406) 488-2238
- **Mailing address:** 216 14TH AVE SW, SIDNEY, MT 59270-3519
- **Mailing address phone:** (406) 488-2163
- **Mailing address fax:** (406) 488-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | PHA-PHI-LIC-1013 | MT | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 12/11/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2050009 | PK | — |
| 05 | — | 221871 | — | MT |
| 05 | — | 2702757 | — | MT |