Organization
MINING CITY COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD A OCONNELL PHARM D (OWNER/OPERATOR)
(406) 490-1359
Entity
Organization
Contact information
Practice address
327 1/2 S EXCELSIOR AVE, BUTTE, MT 59701
(406) 490-1359
Mailing address
PO BOX 105, BUTTE, MT 59703-0105
(406) 490-1359
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
1281
MT
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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