Organization
SEELEY SWAN PHARMACY INC
Active
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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