Healthcare Provider Details

I. General information

NPI: 1124584339
Provider Name (Legal Business Name): 406 RX PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 MAIN ST
ROUNDUP MT
59072
US

IV. Provider business mailing address

PO BOX 1469
COLUMBUS MT
59019-1469
US

V. Phone/Fax

Practice location:
  • Phone: 406-323-2200
  • Fax: 406-323-2205
Mailing address:
  • Phone: 406-780-8016
  • Fax: 406-780-8021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
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 Number
License Number State

VIII. Authorized Official

Name: GREGORY BERNARD ZIEGLER
Title or Position: CO-OWNER
Credential: PHARMD
Phone: 701-388-8832