Organization
PAMIDA STORES OPERATING CO., LLC
Active
Organization
PAMIDA STORES OPERATING CO., LLC
Active
Other names
Pamida Pharmacy #690
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HARLOW (CEO/PRESIDENT)
(402) 596-7206
Entity
Organization
Contact information
Practice address
136 MCLEOD, BIG TIMBER, MT 59011
(406) 932-5316
Mailing address
136 MCLEOD, BIG TIMBER, MT 59011
(406) 932-5316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1268
MT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2783416
NCPDP
MT
Enumeration date
06/24/2008
Last updated
11/23/2009
Update your record
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