Healthcare Provider Details

I. General information

NPI: 1447994546
Provider Name (Legal Business Name): ST. PETER'S HEALTH SPECIALTY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 04/25/2022
Certification Date: 04/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 E BROADWAY ST
HELENA MT
59601-4905
US

IV. Provider business mailing address

2475 E BROADWAY ST
HELENA MT
59601-4928
US

V. Phone/Fax

Practice location:
  • Phone: 406-495-6805
  • Fax:
Mailing address:
  • Phone: 406-457-4180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STARLA BLANK
Title or Position: SR. DIRECTOR OF THERAPEUTICS
Credential: PHARMD
Phone: 406-444-2355