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ELKHORN PHARMACY INC

Specialty Pharmacy

Boulder, Montana

Provider NPI: 1265676100

Organization Information:
Organization Name:  ELKHORN PHARMACY INC


Practice Location:
215 N MAIN  BOULDER, MT 59632 US
Tel: 406-225-3240  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MT1282

Other Provider Identifiers:

IssuerNumberStateType
PK211990201
1265676100MT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS MT - Page 1



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