Organization
SIDNEY HEALTH CENTER
Active
Other names
Mondak Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN WAYNE BEYERLE PHARM.D. (DIRECTOR OF PHARMACY)
(406) 742-5222
Entity
Organization
Contact information
Practice address
304 SOUTH ELLERY AVE., FAIRVIEW, MT 59221
(406) 742-5222
(406) 742-5263
Mailing address
304 SOUTH ELLERY AVE., FAIRVIEW, MT 59221
(406) 742-5222
(406) 742-5263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
813
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509040
—
MT
Enumeration date
07/28/2006
Last updated
08/22/2020
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