Organization
BERGUM DRUG
Active
Other names
BERGUM DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
RON BERGUM RPH (OWNER PRESIDENT)
(406) 443-0505
Entity
Organization
Contact information
Practice address
2600 WINNE AVE, HELENA, MT 59601-4900
(406) 443-0506
(406) 449-6273
Mailing address
PO BOX 6487, HELENA, MT 59604-6487
(406) 443-0505
(406) 449-6273
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20375
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000211822
—
MT
01
—
2050293
PK
—
Enumeration date
07/30/2006
Last updated
01/06/2014
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