Organization
GILLETTE PHARMACY, INC.
Active
Other names
Gillette Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES MAXSON (OWNER/PHARMACIST)
(406) 653-2850
Entity
Organization
Contact information
Practice address
228 MAIN STREET, WOLF POINT, MT 59201
(406) 653-2850
Mailing address
228 MAIN STREET, WOLF POINT, MT 59201
(406) 653-2850
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
477
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000219284
—
MT
Enumeration date
10/02/2006
Last updated
08/22/2020
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