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Organization

MT STATE VETERANS HOME SATELITE PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALEASHA MARTIN (FACILITY REIMBURSEMENT MANAGER)
(406) 444-3416
Entity
Organization

Contact information

Practice address
400 VETERANS DR, COLUMBIA FALLS, MT 59912-5505
(406) 892-3256
(406) 892-0256
Mailing address
111 N SANDERS ST, HELENA, MT 59601-4520
(406) 444-3416
(406) 444-3082

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1195
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1195
STATE OF MT LICENSE NUMBE
MT
01
2783048
NCPDP
MT
Enumeration date
03/29/2007
Last updated
02/18/2026
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