Healthcare Provider Details

I. General information

NPI: 1326081670
Provider Name (Legal Business Name): BILLINGS CLINIC PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 8TH AVE N
BILLINGS MT
59101-0909
US

IV. Provider business mailing address

PO BOX 37000
BILLINGS MT
59107-7000
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-5460
  • Fax: 406-238-5465
Mailing address:
  • Phone: 406-238-5460
  • Fax: 406-238-5465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1111
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN ROSSIE QUINONES
Title or Position: CFO
Credential:
Phone: 406-435-6445