# MT STATE VETERANS HOME SATELITE PHARMACY

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

## Provider details

- **NPI number:** 1790804557
- **Authorized official:** MRS. ALEASHA MARTIN (FACILITY REIMBURSEMENT MANAGER)
- **Authorized official phone:** (406) 444-3416

## Contact information

- **Practice address:** 400 VETERANS DR, COLUMBIA FALLS, MT 59912-5505
- **Practice address phone:** (406) 892-3256
- **Practice address fax:** (406) 892-0256
- **Mailing address:** 111 N SANDERS ST, HELENA, MT 59601-4520
- **Mailing address phone:** (406) 444-3416
- **Mailing address fax:** (406) 444-3082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 1195 | MT | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 02/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1195 | STATE OF MT LICENSE NUMBE | MT |
| 01 | — | 2783048 | NCPDP | MT |