# MINING CITY COMPOUNDING PHARMACY

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

## Provider details

- **NPI number:** 1942442421
- **Authorized official:** CHAD A OCONNELL PHARM D (OWNER/OPERATOR)
- **Authorized official phone:** (406) 490-1359

## Contact information

- **Practice address:** 327 1/2 S EXCELSIOR AVE, BUTTE, MT 59701
- **Practice address phone:** (406) 490-1359
- **Mailing address:** PO BOX 105, BUTTE, MT 59703-0105
- **Mailing address phone:** (406) 490-1359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | 1281 | MT | Yes |

## Other

- **Enumeration date:** 03/31/2009
- **Last updated:** 03/31/2009
