Organization
WHITEHALL PHARMACY INC
Active
Other names
Whitehall Drug
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD JOSH MORRIS PHARM D (OWNER)
(406) 287-3931
Entity
Organization
Contact information
Practice address
411 E LEGION ST, WHITEHALL, MT 59759-7743
(406) 287-3931
(406) 287-9294
Mailing address
PO BOX 26, BOULDER, MT 59632-0026
(406) 287-3931
(406) 287-9294
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566878
DME
MT
05
—
1154480861
—
MT
05
—
173035001B
—
MT
Enumeration date
12/08/2006
Last updated
12/09/2020
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