Organization
406 RX PLLC
Active
Other names
THREE FORKS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH FISHER (OWNER/PARTNER)
(406) 207-8043
Entity
Organization
Contact information
Practice address
117 N MAIN ST STE A, THREE FORKS, MT 59752-9013
(406) 285-3883
(406) 285-3877
Mailing address
PO BOX 1469, COLUMBUS, MT 59019-1469
(406) 207-8043
(406) 285-3877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477069193
—
MT
Enumeration date
12/18/2017
Last updated
05/28/2021
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