Organization
PARADYME ENTERPRISES, LLC
Active
Other names
Green Bean Coffeeshop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHAEDRUS HEMPHILL SWAB (OWNER)
(406) 541-3465
Entity
Organization
Contact information
Practice address
2710 BROOKS ST STE 2, MISSOULA, MT 59801-7868
(406) 541-3465
Mailing address
2710 BROOKS ST STE 2, MISSOULA, MT 59801-7868
(406) 541-3465
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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