Organization
PRAIRIE WINDS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY SITZMANN (OWNER)
(406) 450-0637
Entity
Organization
Contact information
Practice address
706 2ND ST SE, CUT BANK, MT 59427-3341
(406) 873-5707
(406) 873-3118
Mailing address
706 2ND ST SE, PO BOX 1102, CUT BANK, MT 59427-3341
(406) 873-5707
(406) 873-3118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHA-WDD-LIC-19064
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA-WDD-LIC-19064
MONTANA PHARMACY LICENSE
MT
Enumeration date
10/03/2013
Last updated
06/09/2016
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