Organization
GOOD MEDICINE PHARMACY INC
Active
Other names
GOOD MEDICINE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RITA BARBOUR (OWNER/SEC/TREAS)
(406) 892-9997
Entity
Organization
Contact information
Practice address
6475 HWY 93 S, SUITE 101, WHITEFISH, MT 59937-8282
(406) 862-2078
(406) 862-2165
Mailing address
6475 HWY 93 S, SUITE 101, WHITEFISH, MT 59937-8282
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1132
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220524
—
MT
01
—
2782654
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
03/13/2009
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