Healthcare Provider Details

I. General information

NPI: 1376608216
Provider Name (Legal Business Name): CHOTEAU DRUG, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 NORTH MAIN AVE.
CHOTEAU MT
59422-0040
US

IV. Provider business mailing address

102 MAIN AVE N 102 MAIN AVE. NO.
CHOTEAU MT
59422-9410
US

V. Phone/Fax

Practice location:
  • Phone: 406-466-2700
  • Fax: 406-466-5204
Mailing address:
  • Phone: 406-466-2700
  • Fax: 406-466-5204

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 TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number830
License Number StateMT

VIII. Authorized Official

Name: MR. FAYE PERSINGER I
Title or Position: OWNER
Credential:
Phone: 406-466-2700