Ennis Health Mart Pharmacy

LBN: Ennis Pharmacy And Yesterday'S Soda Fountain, Inc
Ennis Health Mart Pharmacy is an health care organization with primary practice located at 124 East Main Street , Ennis MT 59729-0306. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ennis Pharmacy And Yesterday'S Soda Fountain, Inc can be contacted via phone (406) 682-4246, or through Croy, Stacy A via phone (406) 682-4246.

Contact Information

Primary practice address
124 East Main Street Ennis MT 59729-0306
Phone: (406) 682-4246
Fax: (406) 682-7568
Website:
Map and Directions
Authorized official contact:
Name: Croy, Stacy A CPT
Phone: (406) 682-4246

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 807 Montana
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1932241700
LBN Legal business name Ennis Pharmacy And Yesterday'S Soda Fountain, Inc
DBA Doing business as Ennis Health Mart Pharmacy
Authorized official Croy, Stacy A CPT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Feb 8th, 2024 - about 9 months 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 1932241700 NPPES
Montana MEDICAID 221377

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