Stillwater Family Pharmacy

LBN: Matovich Enterprises Inc
Stillwater Family Pharmacy is an health care organization with primary practice located at 133 N 5Th , Columbus MT 59019. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Matovich Enterprises Inc can be contacted via phone (406) 322-5652, or through Matovich, Michael via phone (406) 322-5652.

Contact Information

Primary practice address
133 N 5Th Columbus MT 59019
Phone: (406) 322-5652
Fax: (406) 322-4960
Website:
Map and Directions
Authorized official contact:
Name: Matovich, Michael RPH
Phone: (406) 322-5652

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHA-PHR-LIC-602 Montana
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1750439709
LBN Legal business name Matovich Enterprises Inc
DBA Doing business as Stillwater Family Pharmacy
Authorized official Matovich, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 14th, 2021 - about 4 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 1750439709 NPPES
Other 2050295 PK
MEDICAID 212194 PK

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