Organization
TIMBER RIDGE PHARMACY INC
Active
Organization
TIMBER RIDGE PHARMACY INC
Active
Other names
TIMBER RIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD COULSTON RPH (PIC)
(406) 363-9003
Entity
Organization
Contact information
Practice address
1131 N 1ST ST, HAMILTON, MT 59840-2150
(406) 363-9003
(406) 363-9005
Mailing address
1131 N 1ST ST, HAMILTON, MT 59840-2150
(406) 363-9003
(406) 363-9005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1097
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052495
PK
—
Enumeration date
07/04/2006
Last updated
11/28/2025
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