PHARMERICA LONG TERM CARE LLC
Medical Equipment Supplier Yellow Pages
Great Falls, Montana
Provider NPI: 1811920499
Organization Information:Organization Name: PHARMERICA LONG TERM CARE LLC
Practice Location:
625 CENTRAL AVE W SUITE 105 GREAT FALLS, MT 59404 US
Tel: 800-757-3713 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
625 CENTRAL AVE W SUITE 105 GREAT FALLS, MT 59404 US
Tel: 800-757-3713 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | MT | 1065 |
N | 3336L0003X | Suppliers Pharmacy | MT | 1065 |
Y | 3336L0003X | Suppliers Pharmacy | MT | 1229 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1811920499 | MT | 05 | |
BOARD OF PHARMACY | PHA-PHR-LIC-58716 | MT | 01 |
DEA | FP8229812 | MT | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin