Healthcare Provider Details

I. General information

NPI: 1912028499
Provider Name (Legal Business Name): BIGFORK DRUG, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 MT HIGHWAY 35 STE 7
BIGFORK MT
59911-3589
US

IV. Provider business mailing address

8111 MT HIGHWAY 35 STE 7
BIGFORK MT
59911-3589
US

V. Phone/Fax

Practice location:
  • Phone: 406-837-4370
  • Fax: 406-837-4390
Mailing address:
  • Phone: 406-837-4370
  • Fax: 406-837-4390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1224
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY MURRAY
Title or Position: OWNER
Credential: PHARMD.
Phone: 406-837-4370