Healthcare Provider Details

I. General information

NPI: 1346439957
Provider Name (Legal Business Name): MILK RIVER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42465 US HIGHWAY 2
HARLEM MT
59526
US

IV. Provider business mailing address

PO BOX 965
HARLEM MT
59526-0965
US

V. Phone/Fax

Practice location:
  • Phone: 406-353-3535
  • Fax: 406-353-2727
Mailing address:
  • Phone: 406-353-3535
  • Fax: 406-353-2727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HILARY ANN KRASS-RICHMAN
Title or Position: OWNER
Credential: RPH, PHARM.D
Phone: 406-353-3535