Montana Compounding Pharmacy

LBN: Montana Compounding Pharmacy
Montana Compounding Pharmacy is an health care organization with primary practice located at 111 N Higgins Ave Ste 5 , Missoula MT 59802-4494. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Montana Compounding Pharmacy can be contacted via phone (406) 542-2888, or through Calcagno, Roy G via phone (406) 542-2888.

Contact Information

Primary practice address
111 N Higgins Ave Ste 5 Missoula MT 59802-4494
Phone: (406) 542-2888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Calcagno, Roy G RPH
Phone: (406) 542-2888

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 892 Montana

Profile Details

NPI number 1922176940
LBN Legal business name Montana Compounding Pharmacy
DBA Doing business as
Authorized official Calcagno, Roy G RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Aug 22nd, 2020 - 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 1922176940 NPPES
Montana MEDICAID 0000211616

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