Organization
JKW & JIRA INC
Active
Other names
Pharmacy 1
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN JARROD WILLEMS R PH (PRESIDENT)
(406) 245-6717
Entity
Organization
Contact information
Practice address
2900 12TH AVE NORTH, BILLINGS, MT 59101
(406) 245-8717
(406) 252-4078
Mailing address
2900 12TH AVE NORTH, BILLINGS, MT 59101
(406) 245-8717
(406) 252-4078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1049
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212500
—
MT
Enumeration date
07/31/2006
Last updated
08/22/2020
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