Organization
BIG SANDY PHARMACY INC
Active
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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