Big Sky Specialty Compoundng
LBN: Superior Specialty Pharmacy Of Montana, Llc
Big Sky Specialty Compoundng is an health care organization with primary practice located at 20 Four Mile Dr Ste 4 , Kalispell MT 59901-2644. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Superior Specialty Pharmacy Of Montana, Llc can be contacted via phone (406) 752-0499, or through Grady, David via phone (406) 752-0440.
Contact Information
Primary practice address
20 Four Mile Dr Ste 4
Kalispell MT 59901-2644
Phone: (406) 752-0499
Fax: (406) 752-0498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1209 | Montana |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1679977433 |
|---|---|
| LBN Legal business name | Superior Specialty Pharmacy Of Montana, Llc |
| DBA Doing business as | Big Sky Specialty Compoundng |
| Authorized official | Grady, David |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 22nd, 2014 |
| Last updated | Sep 23rd, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679977433 | NPPES |
| Other | 2148091 | PK |
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