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Organization

KOOTENAI DRUG AND HARDWARE INC

Active
Other names
KOOTENAI DRUG
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER HERMES RPH (OWNER)
(406) 295-4361
Entity
Organization

Contact information

Practice address
611 E MISSOULA AVE, TROY, MT 59935
(406) 295-4361
(406) 295-5326
Mailing address
611 E MISSOULA AVE, PO BOX 328, TROY, MT 59935
(406) 295-4361
(406) 295-5326

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
1150
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0214455
MT
01
2050152
PK
Enumeration date
06/14/2006
Last updated
02/27/2015
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