Organization
THOMPSON FALLS FAMILY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA RUTH HOLMES RPH (PRESIDENT/PHARMACIST)
(406) 827-4349
Entity
Organization
Contact information
Practice address
1221 MAIN ST, THOMPSON FALLS, MT 59873-9355
(406) 827-4349
(406) 827-9640
Mailing address
PO BOX 1059, THOMPSON FALLS, MT 59873-1059
(406) 827-4349
(406) 827-9640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA-PHR-LIC-60614
STATE LICENSE
MT
Enumeration date
05/22/2019
Last updated
02/14/2020
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