Organization
UNIVERSITY OF MONTANA
Active
Other names
Health Service Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHATRIAND (PHARMACY MANAGER)
(406) 243-5171
Entity
Organization
Contact information
Practice address
634 EDDY AVE, MISSOULA, MT 59801
(406) 243-5171
(406) 243-6185
Mailing address
634 EDDY AVE, MISSOULA, MT 59812-1851
(406) 243-5171
(406) 243-6185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
307
MT
333600000X
Pharmacy
Primary
307
MT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212568
—
MT
Enumeration date
01/16/2007
Last updated
03/09/2026
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