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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