Organization
BIG SKY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL ETCHEMENDY RPH (PRESIDENT)
(406) 234-1241
Entity
Organization
Contact information
Practice address
701 MAIN ST, MILES CITY, MT 59301-3121
(406) 234-1241
(406) 234-5642
Mailing address
701 MAIN ST, PO BOX 1299, MILES CITY, MT 59301-3121
(406) 234-1241
(406) 234-5642
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214192
—
MT
Enumeration date
01/24/2007
Last updated
04/13/2020
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