Three Forks Family Pharmacy

LBN: 406 Rx Pllc
Three Forks Family Pharmacy is an health care organization with primary practice located at 117 N Main St Ste A , Three Forks MT 59752-9013. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 406 Rx Pllc can be contacted via phone (406) 285-3883, or through Fisher, Josh via phone (406) 207-8043.

Contact Information

Primary practice address
117 N Main St Ste A Three Forks MT 59752-9013
Phone: (406) 285-3883
Fax: (406) 285-3877
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Josh
Phone: (406) 207-8043

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477069193
LBN Legal business name 406 Rx Pllc
DBA Doing business as Three Forks Family Pharmacy
Authorized official Fisher, Josh
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2017
Last updated May 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477069193 NPPES
Montana MEDICAID 1477069193

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