Organization
NORTHTOWN DRUG LLC
Active
Other names
NORTHTOWN DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
ANN CLARK RPH (OWNER)
(406) 434-5115
Entity
Organization
Contact information
Practice address
100 MAIN ST, SHELBY, MT 59474-1906
(406) 434-5115
(406) 434-2373
Mailing address
PO BOX 917, SHELBY, MT 59474-0917
(406) 434-5115
(406) 434-2373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1232
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699875906
—
MT
01
—
2049975
PK
—
Enumeration date
09/25/2006
Last updated
03/04/2024
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