Organization
JKW & JIRA INC
Active
Other names
PHARMACY 1
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN WILLEMS R PH (PRESIDENT)
(406) 245-6717
Entity
Organization
Contact information
Practice address
2900 12TH AVE N STE 110A, BILLINGS, MT 59101-7506
(406) 245-6717
(406) 252-4078
Mailing address
2900 12TH AVE N, BILLINGS, MT 59101-7506
(406) 245-6717
(406) 252-4078
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-1049
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050177
PK
—
05
—
MT126815
—
MT
05
—
MT379423
—
MT
05
—
WY0178
—
WY
Enumeration date
02/14/2007
Last updated
09/30/2021
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