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NPI Code Detail

MEDICARE: ST JAMES HEALTHCARE

MEDICARE: ST JAMES HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336I0012XInstitutional PharmacyPHA-PHI-LIC-740MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12050020OTHERPK

General Provider Information

NPI Number : 1275679714
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST JAMES HEALTHCARE
Provider Business Mailing Address
First Line : 400 S CLARK ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-2328
Country : US
Telephone Number : 406-723-2546
Fax Number : 406-723-2551
Provider Business Practice Location Address
First Line : 400 S CLARK ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-2328
Country : US
Telephone Number : 406-723-2546
Fax Number : 406-723-2551
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER AND VP CLINI
Name : CARRIE DUNFORD
Credential : PHARMD, MBA
Telephone Number : 801-284-1049
Provider Enumeration Date : 01/30/2007
Last Update Date : 12/09/2025

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Directions to “ST JAMES HEALTHCARE ” Practice Location

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