Organization
TIMBER RIDGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANS RICHARDSON IV (OWNER/PHARMACY TECH)
(406) 363-9003
Entity
Organization
Contact information
Practice address
1131 N 1ST ST, HAMILTON, MT 59840-2150
(406) 363-9003
(406) 363-9005
Mailing address
1131 N 1ST ST, HAMILTON, MT 59840-2150
(406) 363-9003
(406) 363-9005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
1097
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213408
—
MT
05
—
5607030
—
MT
Enumeration date
07/11/2006
Last updated
01/12/2024
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