Organization
BOZEMAN HEALTH DEACONESS HOSPITAL
Active
Other names
HIGHLAND PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BRAYTON RPH PHARMD (CLINICAL PHARMACIST SUPERVISOR)
(406) 585-5030
Entity
Organization
Contact information
Practice address
925 HIGHLAND BLVD, SUITE 2000, BOZEMAN, MT 59715-6900
(406) 414-1030
(406) 414-5096
Mailing address
925 HIGHLAND BLVD, BOZEMAN, MT 59715-6900
(406) 414-1030
(406) 414-5096
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
664
MT
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000213434
—
MT
01
—
2050311
PK
—
Enumeration date
09/20/2006
Last updated
03/15/2022
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