Organization
NORTHEAST MONTANA HEALTH SERVICES INC
Active
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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