Healthcare Provider Details

I. General information

NPI: 1043375975
Provider Name (Legal Business Name): BITTERROOT DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W MAIN ST
HAMILTON MT
59840-2553
US

IV. Provider business mailing address

211 W MAIN ST
HAMILTON MT
59840-2553
US

V. Phone/Fax

Practice location:
  • Phone: 406-363-3611
  • Fax: 406-363-0131
Mailing address:
  • Phone: 406-363-3611
  • Fax: 406-363-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1160
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PETE SEIFERT
Title or Position: PHARMACIST AND OWNER
Credential:
Phone: 406-363-3611