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General NPI Number Information
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NPI Number | 1659763217
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Entity Type | Organization
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Legal Business Name | MONTANA RX SOLUTIONS, PLLC
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 6230 MAIN ST STE. B101
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City | COLSTRIP
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State | MT
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Zip | 59323-9520
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Country | US
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Telephone | 406-213-7010
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Fax | 406-213-7009
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | COLUMBUS
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State | MT
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Zip | 59019-0002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER, MONTANA RX SOLUTIONS, PLLC
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Name | MR. MICHAEL ROBERT MATOVICH
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Credential | R.PH
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Telephone | 406-860-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHA-PHR-LIC-28412
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License Number State | MT
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