Organization
PHARMFILL INC
Active
Organization
PHARMFILL INC
Active
Other names
Remedies Lakeside
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN VANCAMPEN (OWNER)
(406) 844-2103
Entity
Organization
Contact information
Practice address
206 STONER LOOP, LAKESIDE, MT 59922-9540
(406) 844-2103
(406) 844-2106
Mailing address
206 STONER LOOP RD, LAKESIDE, MT 59922-9540
(406) 844-2103
(406) 844-2106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28638
MT
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136466
PK
—
Enumeration date
08/27/2012
Last updated
08/11/2015
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