406 Clinic Pharmacy

LBN: Shields Llc
406 Clinic Pharmacy is an health care organization with primary practice located at 1315 Wyoming St Ste A , Missoula MT 59801-1725. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Shields Llc can be contacted via phone (406) 544-8808, or through Shields, Eric via phone (406) 541-4060.

Contact Information

Primary practice address
1315 Wyoming St Ste A Missoula MT 59801-1725
Phone: (406) 544-8808
Fax: (406) 541-0185
Website:
Map and Directions
Authorized official contact:
Name: Shields, Eric
Phone: (406) 541-4060

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 42790 Montana

Profile Details

NPI number 1104378439
LBN Legal business name Shields Llc
DBA Doing business as 406 Clinic Pharmacy
Authorized official Shields, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2016
Last updated Mar 11th, 2018 - about 6 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 1104378439 NPPES
Other 2166083 PK

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