Organization
MINERAL DRUG, INC
Active
Other names
Mineral Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA R HOLMES RPH (PRESIDENT/PHARMACIST)
(406) 822-4681
Entity
Organization
Contact information
Practice address
207 RIVER ST, SUPERIOR, MT 59872-9673
(406) 822-4681
(406) 822-0057
Mailing address
PO BOX 1407, PLAINS, MT 59859-1407
(406) 822-4681
(406) 822-0057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
09/16/2021
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