Organization
SERVICE DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PAUL HAUGO R.PH. (PRESIDENT)
(406) 487-5911
Entity
Organization
Contact information
Practice address
119 MAIN STREET, SCOBEY, MT 59263
(406) 487-5911
(406) 487-5911
Mailing address
PO BOX 1107, SCOBEY, MT 59263-1107
(406) 487-5911
(406) 487-5911
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1125
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212121
—
MT
01
—
1125
STATE PHARMACY LICENSE
MT
01
—
2702137
NCPDP
—
Enumeration date
01/22/2007
Last updated
03/07/2023
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