Organization
UTTERBACK RX INC
Active
Other names
Village Drug
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON UTTERBACK (OWNER)
(406) 278-3267
Entity
Organization
Contact information
Practice address
600 S MAIN ST, SUITE 2, CONRAD, MT 59425-2532
(406) 278-3267
(406) 278-3851
Mailing address
600 S MAIN ST, SUITE 2, CONRAD, MT 59425-2532
(406) 278-3267
(406) 278-3851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20440
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143529
PK
—
Enumeration date
12/26/2013
Last updated
07/19/2016
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