MILES CITY PHARMACY (2850)    INSTITUTION (4)

Name Value
NAME MILES CITY PHARMACY
STATE MONTANA
STREET ADDR. 1 210 South Winchester Ave
CITY Miles City
ZIP 59301
OFFICIAL VA NAME Miles City Pharmacy
STATUS National
ASSOCIATIONS
ST. ADDR. 1 (MAILING) 210 South Winchester Ave
CITY (MAILING) Miles City
STATE (MAILING) MONTANA
ZIP (MAILING) 59301
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1497703292
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1497703292