Organization
PAMIDA STORES OPERATING CO LLC
Active
Other names
Pamida Pharmacy 127
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HARLOW (CEO/PRESIDENT)
(402) 596-7206
Entity
Organization
Contact information
Practice address
900 1ST AVE W, COLUMBIA FALLS, MT 59912-4025
(406) 892-2860
(406) 892-2863
Mailing address
900 1ST AVE W, COLUMBIA FALLS, MT 59912-4025
(406) 892-2860
(406) 892-2863
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1201
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497709281
—
MT
01
—
2782604
NCPDP
—
Enumeration date
05/19/2006
Last updated
11/23/2009
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