Organization
EUREKA DRUG INC
Active
Other names
Eureka Drug
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR RYAN ERICKSON RPH (PRESIDENT)
(406) 297-7748
Entity
Organization
Contact information
Practice address
546 US HIGHWAY 93 N, EUREKA, MT 59917-9053
(406) 297-7748
(833) 642-8900
Mailing address
PO BOX 305, EUREKA, MT 59917-0305
(406) 297-7748
(406) 297-7492
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15303
MT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124251095
—
MT
01
—
2121746
PK
—
Enumeration date
08/26/2009
Last updated
07/12/2024
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