Organization
UTTERBACK RX INC
Active
Other names
Olson's Drug
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN OR BRANDON UTTERBACK (CO-OWNERS)
(406) 278-3261
Entity
Organization
Contact information
Practice address
5 4TH AVE SE, CONRAD, MT 59425-2327
(406) 278-3261
(406) 278-9936
Mailing address
5 4TH AVE SE, CONRAD, MT 59425-2327
(406) 278-3261
(406) 278-9936
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20411
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213213
—
MT
01
—
2143307
PK
—
Enumeration date
12/12/2006
Last updated
03/24/2022
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