Organization
JKW & JIRA INC.
Active
Other names
Pharmacy 1 at the MHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN JARROD WILLEMS R.PH. (PRESIDENT)
(406) 601-3392
Entity
Organization
Contact information
Practice address
1245 N 29TH ST STE 100, BILLINGS, MT 59101
(406) 601-3392
(877) 743-0496
Mailing address
2900 12TH AVE N STE 110A, BILLINGS, MT 59101-7506
(406) 245-6717
(406) 252-4078
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHA-PHR-LIC-47362
MT
3336L0003X
Long Term Care Pharmacy
Primary
PHA-PHR-LIC-47362
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA-PHR-LIC-47362
STATE OF MONTANA PHARMACY LICENSE
MT
Enumeration date
09/12/2017
Last updated
05/31/2018
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