Organization
BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES, LLC
Active
Organization
BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES, LLC
Active
Parent organization
BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES, LLC
Other names
Billings Clinic Specialty Supplies, Billings Clinic Specialty Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES, LLC
Authorized official
CONNIE PREWITT (VICE PRESIDENT, CHIEF FINANCIAL OFF)
(406) 657-4546
Entity
Organization
Contact information
Practice address
1015 BROADWATER AVE STE 101, BILLINGS, MT 59102
(406) 657-4545
(406) 435-6393
Mailing address
1015 BROADWATER AVE STE 101, BILLINGS, MT 59102-5446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-47172
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA-PHR-LIC-47172
STATE OF MONTANA BOARD OF PHARMACY
MT
Enumeration date
08/16/2017
Last updated
06/16/2018
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