Organization
LARRY'S IGA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LAWRENCE LANE RPH. (PHARMACY MANAGER)
(406) 436-2270
Entity
Organization
Contact information
Practice address
120 S. PARK STREET, BROADUS, MT 59317
(406) 436-2270
(406) 436-2338
Mailing address
PO BOX 549, 120 S. PARK STREET, BROADUS, MT 59317
(406) 436-2270
(406) 436-2338
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
711
MT
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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