Organization
RO MONTANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART E ANDERSON R PH (PRESIDENT OWNER)
(406) 761-8781
Entity
Organization
Contact information
Practice address
1417 9TH ST S, SUITE 101A, GREAT FALLS, MT 58405
(406) 452-7676
(406) 452-0435
Mailing address
1417 9TH ST S, SUITE 101A, GREAT FALLS, MT 58405
(406) 452-7676
(406) 452-0435
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214251
PROVIDER
—
05
—
0562513
—
MT
Enumeration date
09/29/2006
Last updated
08/22/2020
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