Organization
NORTHEAST MONTANA HEALTH SERVICES INC
Active
Other names
POPLAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD RAY BALAND CPA (CFO)
(512) 484-4850
Entity
Organization
Contact information
Practice address
213 H ST, POPLAR, MT 59255-9519
(406) 768-6147
(406) 768-6187
Mailing address
211 H ST, POPLAR, MT 59255-9519
(406) 768-6147
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1266
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811147192
—
MT
01
—
2117106
PK
—
Enumeration date
09/24/2008
Last updated
11/05/2023
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