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Managed Care Organization Pharmacy

Kalispell, Montana

Provider NPI: 1548228976

Organization Information:

Practice Location:
Tel: 406-751-7600  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Compounding Pharmacy
Durable Medical Equipment & Medical Supplies

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


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