Organization
NORTH RIDGE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A WEICHERT (AUTHORIZED OFFICIAL)
(952) 361-8000
Entity
Organization
Contact information
Practice address
2651 SOUTH AVE W STE 102, MISSOULA, MT 59804-6403
(406) 258-7100
(406) 251-1281
Mailing address
1107 HAZELTINE BLVD, STE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8060
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
39645
MT
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
39645
MT
Other
Enumeration date
09/01/2016
Last updated
11/15/2024
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