Organization
MISSOULA PHARMACY INC
Active
Organization
MISSOULA PHARMACY INC
Active
Other names
MISSOULA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ROBBINS PHARMD (OWNER / PIC)
(406) 728-5650
Entity
Organization
Contact information
Practice address
1211 S RESERVE ST, STE 102, MISSOULA, MT 59801-3102
(406) 728-5650
(406) 728-9430
Mailing address
1211 S RESERVE ST, STE 102, MISSOULA, MT 59801-3102
(406) 728-5650
(406) 728-9430
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1208
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700998705
—
MT
01
—
2052601
PK
—
Enumeration date
08/31/2006
Last updated
04/15/2024
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