Organization
BENTON PHARMACY INC
Active
Other names
BENTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HALKO BS (RPH,OWNER)
(406) 622-5588
Entity
Organization
Contact information
Practice address
1418 FRONT ST, FORT BENTON, MT 59442-8884
(406) 622-5588
(406) 622-5088
Mailing address
PO BOX 549, FORT BENTON, MT 59442-0549
(406) 622-5588
(406) 622-5088
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1151
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467406389
—
MT
01
—
2049905
PK
—
05
—
216567
—
MT
Enumeration date
05/22/2006
Last updated
10/16/2023
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