Organization
VDV INC
Active
Other names
Valley Drug & Variety
Organization subpart
No
Provider details
NPI number
Authorized official
DAN L SEVERSON R. PH, (PRESIDENT)
(406) 777-5591
Entity
Organization
Contact information
Practice address
301 MAIN ST, STEVENSVILLE, MT 59870-2531
(406) 777-5591
(406) 777-5150
Mailing address
301 MAIN ST, STEVENSVILLE, MT 59870-2531
(406) 777-5591
(406) 777-5150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1054
MT
3336C0003X
Community/Retail Pharmacy
Primary
1054
MT
3336M0002X
Mail Order Pharmacy
1054
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230542
—
MT
01
—
2702240
NCPDP
MT
Enumeration date
12/26/2006
Last updated
07/08/2015
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