Organization
RED LODGE DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG C ERICKSON RPH (PRESIDENT)
(406) 446-1017
Entity
Organization
Contact information
Practice address
211 N BROADWAY AVE, RED LODGE, MT 59068-9132
(406) 446-1017
(406) 446-2516
Mailing address
PO BOX 1030, RED LODGE, MT 59068-1030
(406) 446-1017
(406) 446-2516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1249
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000560144
—
MT
05
—
000236327
—
MT
Enumeration date
10/10/2006
Last updated
10/16/2023
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