Organization
BAKER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSE DANIELLE WEBBER (OWNER)
(406) 778-2214
Entity
Organization
Contact information
Practice address
103 S MAIN ST, BAKER, MT 59313
(406) 778-2214
(406) 778-2247
Mailing address
PO BOX 459, BAKER, MT 59313-0459
(406) 778-2214
(406) 778-2247
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
—
0121710
—
MT
Enumeration date
11/02/2006
Last updated
09/27/2023
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