Organization
RIDGEWAY PHARMACY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CLOUD C.PH.T (OWNER)
(406) 642-6040
Entity
Organization
Contact information
Practice address
2824 HWY 93 N., VICTOR, MT 59875
(406) 642-6040
(406) 642-6050
Mailing address
2824 HWY 93 N., VICTOR, MT 59875
(406) 642-6040
(406) 642-6050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1119
MT
3336M0002X
Mail Order Pharmacy
1119
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2706488
NABP NUMBER
MT
Enumeration date
10/18/2006
Last updated
02/18/2016
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