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
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