Organization
HAINES MEDICAL PHARMACY, INC.
Active
Other names
Haines Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN S MACKENZIE PHARM. D (OWNER/PHARMACY MANAGER)
(406) 862-6301
Entity
Organization
Contact information
Practice address
1111 BAKER AVE, WHITEFISH, MT 59937-2905
(406) 862-6301
(406) 862-6312
Mailing address
1111 BAKER AVE, WHITEFISH, MT 59937-2905
(406) 862-6301
(406) 862-6312
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1064
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064
MT PHARMACY #
MT
05
—
212772
—
MT
01
—
2706565
NABP #
MT
Enumeration date
05/11/2006
Last updated
03/07/2023
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