Organization
SEELEY SWAN PHARMACY INC
Active
Other names
SEELEY SWAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DOVE RPH (OWNER)
(406) 677-8989
Entity
Organization
Contact information
Practice address
3027 MT HIGHWAY 83 N, LAZY PINE MALL STE J, SEELEY LAKE, MT 59868-8628
(406) 677-8989
(406) 677-8080
Mailing address
PO BOX 930, SEELEY LAKE, MT 59868-0930
(406) 677-8080
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1251
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052662
PK
—
Enumeration date
03/18/2008
Last updated
02/15/2017
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