Organization
CASTLE MOUNTAIN DRUG PLLC
Active
Other names
Castle Mountain Drug
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLLE T SEREDAY (PIC/OWNER)
(406) 547-2316
Entity
Organization
Contact information
Practice address
4271 US HIGHWAY 12 E, WHITE SULPHUR SPRINGS, MT 59645
(406) 547-2316
(406) 547-2162
Mailing address
PO BOX 415, WHITE SULPHUR SPRINGS, MT 59645-0415
(406) 547-2316
(406) 547-2162
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-28648
MT
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123639
PK
—
Enumeration date
01/22/2010
Last updated
11/02/2023
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