Healthcare Provider Details

I. General information

NPI: 1336175959
Provider Name (Legal Business Name): JURO'S MEDICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 06/06/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2043 GRAND AVE
BILLINGS MT
59102-2614
US

IV. Provider business mailing address

2043 GRAND AVE
BILLINGS MT
59102-2614
US

V. Phone/Fax

Practice location:
  • Phone: 406-869-0123
  • Fax: 406-869-0134
Mailing address:
  • Phone: 406-869-0123
  • Fax: 406-869-0110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number1048
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. DAN JUROVICH
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 406-869-0123