Organization
BUTTE IV PHARMACY, INC. D.B.A. HOME IV PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON DOTTER (SECRETARY-TREASURER)
(406) 723-4099
Entity
Organization
Contact information
Practice address
2601 1/2 CONTINENTAL DR, BUTTE, MT 59701-4542
(406) 723-4099
(406) 723-4059
Mailing address
2601 1/2 CONTINENTAL DR, BUTTE, MT 59701-4542
(406) 723-4099
(406) 723-4059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2812
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211536
—
MT
05
—
5606583
—
MT
05
—
560833
—
MT
Enumeration date
01/25/2007
Last updated
02/06/2017
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