Organization
SOUTH HILLS PHARMACY INC
Active
Other names
SOUTH HILLS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RON BERGUM (PRESIDENT)
(406) 443-2540
Entity
Organization
Contact information
Practice address
2600 WINNE AVE, HELENA, MT 59601-4900
(406) 443-2540
(406) 443-2071
Mailing address
PO BOX 6487, HELENA, MT 59604-6487
(406) 443-2540
(406) 443-2071
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
20376
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000129047
—
MT
01
—
2052587
PK
—
Enumeration date
07/22/2006
Last updated
01/02/2014
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