Organization
JKW & JIRA INC
Active
Other names
Pharmacy 1 at the MHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN JARROD WILLEMS R.PH. (PIC)
(406) 601-3392
Entity
Organization
Contact information
Practice address
1245 N 29TH ST STE 100, BILLINGS, MT 59101-0122
(406) 601-3392
Mailing address
1245 N 29TH ST STE 100, BILLINGS, MT 59101-0122
(406) 601-3392
(877) 743-0496
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2784242
NCPDP
—
Enumeration date
03/06/2020
Last updated
03/06/2020
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