Organization
LIBBY DRUG P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE ANN JAQUETH (PHARMACY TECHNICIAN)
(406) 293-3958
Entity
Organization
Contact information
Practice address
906 MONTANA AVE, LIBBY, MT 59923-2014
(406) 293-3958
(406) 293-5858
Mailing address
906 MONTANA AVE, LIBBY, MT 59923-2014
(406) 293-3958
(406) 293-5858
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
884
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220201
—
MT
Enumeration date
04/19/2007
Last updated
08/22/2020
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