Organization
AUSTINS PHARMACY PLLC
Active
Other names
Austin's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE AUSTIN PHARMD (OWNER)
(406) 262-3098
Entity
Organization
Contact information
Practice address
305 S 1ST AVE, LAUREL, MT 59044-3303
(406) 555-5555
Mailing address
5870 CHIEF YELLOWBULL TRL, LAUREL, MT 59044-9591
(406) 262-3098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1340
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013285840
—
MT
01
—
2783795
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/07/2011
Last updated
08/23/2012
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