Organization
ROSAUERS FOOD AND DRUG #27
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN MELVIN RPH, PHARM.D. (PHARMACY MANAGER)
(406) 721-5330
Entity
Organization
Contact information
Practice address
2350 S RESERVE ST, MISSOULA, MT 59801-6447
(406) 721-5330
(406) 721-4832
Mailing address
2350 S RESERVE ST, MISSOULA, MT 59801-6447
(406) 721-5330
(406) 721-4832
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHA-LIC-5221
MT
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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