Organization
CORVALLIS DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLINTON KYP CURTIS OWNER (PHARMACIST)
(406) 961-3221
Entity
Organization
Contact information
Practice address
1029 MAIN STREET, CORVALLIS, MT 59828-0009
(406) 961-3221
(406) 961-4344
Mailing address
PO BOX 9, 1029 MAIN STREET, CORVALLIS, MT 59828-0009
(406) 961-3221
(406) 961-4344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
1034
MT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
347C00000X
Private Vehicle
13-30123
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700791
NABP
MT
05
—
562822
—
MT
Enumeration date
12/26/2006
Last updated
01/16/2025
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