Organization
NORTHEAST MONTANA HEALTH SERVICES INC
Active
Other names
WOLF POINT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD RAY BALAND CPA (CFO)
(512) 484-4850
Entity
Organization
Contact information
Practice address
1115 4TH AVE N, WOLF POINT, MT 59201-1829
(406) 653-6572
(406) 653-6561
Mailing address
1115 4TH AVE N, WOLF POINT, MT 59201-1829
(406) 653-6500
(406) 653-6592
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1265
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730343492
—
MT
01
—
2052670
PK
—
Enumeration date
07/11/2008
Last updated
11/05/2023
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