Organization
APOTHECARY CONVENIENCE PHARMACY, INC.
Active
Organization
APOTHECARY CONVENIENCE PHARMACY, INC.
Active
Other names
Apothecary Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET ANDREW BUSHAW BSBA (PRESIDENT)
(406) 454-2399
Entity
Organization
Contact information
Practice address
20 3RD ST N, GREAT FALLS, MT 59401-3188
(406) 454-2399
(406) 454-3651
Mailing address
20 3RD ST N, GREAT FALLS, MT 59401-3188
(406) 454-2399
(406) 454-3651
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
826
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560391
—
MT
05
—
210353
—
MT
01
—
2705652
NCPDP ID #
MT
Enumeration date
09/15/2006
Last updated
08/22/2020
Update your record
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