Organization
BIG SANDY PHARMACY INC
Active
Other names
Big Sandy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE WEAVER PHARMD (OWNER)
(406) 378-5588
Entity
Organization
Contact information
Practice address
158 JOHANNES AVE, BIG SANDY, MT 59520
(406) 378-5588
(406) 378-5088
Mailing address
PO BOX 321, BIG SANDY, MT 59520-0321
(406) 378-5588
(406) 378-5088
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1306
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790002566
—
MT
01
—
2125001
PK
—
Enumeration date
05/03/2010
Last updated
02/10/2023
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