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NPI 1144186255

NPI 1144186255 : GUARDIAN PHARMACY OF MONTANA, LLC : MISSOULA, MT

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General NPI Number Information
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    NPI Number           |    1144186255
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    Entity Type          |    Organization 
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    Legal Business Name  |    GUARDIAN PHARMACY OF MONTANA, LLC 
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Dates
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    Enumeration Date     |    01/02/2026
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    Last Update Date     |    01/02/2026
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Provider Practice Location Address
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    Address Line         |    2651 SOUTH AVE W 
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59804-6402
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    Country              |    US
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    Telephone            |    406-258-7100
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    Fax                  |    406-251-1281
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Provider Business Mailing Address
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    Address Line         |    2651 SOUTH AVE W 
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59804-6402
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    Country              |    US
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    Telephone            |    406-258-7100
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    Fax                  |    406-251-1281
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     REECE  CHRISTENSEN 
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    Credential           |    
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    Telephone            |    208-497-3575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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