Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYDI FUNK (PHARMACY MANAGER)
(909) 800-8977
Entity
Organization
Contact information
Practice address
307 SE 4TH ST, LAUREL, MT 59044-3324
(406) 628-8746
Mailing address
307 SE 4TH ST, LAUREL, MT 59044-3324
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
35395
MT
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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