Organization
MIRX LLC
Active
Parent organization
EMPLOYEE BENEFIT MANAGEMENT SERVICES, INC.
Other names
miRx Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPLOYEE BENEFIT MANAGEMENT SERVICES, INC.
Authorized official
MR. KEVIN LARSON (SENIOR VICE PRESIDENT)
(406) 245-3575
Entity
Organization
Contact information
Practice address
993 S 24TH ST W, SUITE A, BILLINGS, MT 59102-7433
(406) 869-6551
(406) 869-6552
Mailing address
993 S 24TH ST W, SUITE A, BILLINGS, MT 59102-7433
(406) 869-6551
(406) 869-6552
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHA-PHR-LIC-27586
MT
3336M0002X
Mail Order Pharmacy
Primary
PHA-PHR-LIC-27586
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA-PHR-LIC-27586
MONTANA STATE PHARMACY LICENSE
MT
Enumeration date
01/30/2010
Last updated
06/14/2016
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