Organization
KOOTENAI DRUG AND HARDWARE INC
Active
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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