Organization
KEYSTONE DRUG LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK M ANDERSEN R.PH. (OWNER/ PHARMACIST)
(406) 846-2120
Entity
Organization
Contact information
Practice address
407 MAIN ST, DEER LODGE, MT 59722-1058
(406) 846-2120
(406) 846-2348
Mailing address
407 MAIN ST, DEER LODGE, MT 59722-1058
(406) 846-2120
(406) 846-2348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
776
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220714
—
MT
01
—
2700878
NABP #
—
Enumeration date
10/05/2006
Last updated
03/07/2023
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