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General NPI Number Information
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NPI Number | 1679870430
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Entity Type | Organization
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Legal Business Name | PHARMFILL INC
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 112 CENTRAL AVE N
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City | HARLOWTON
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State | MT
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Zip | 59036-5071
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Country | US
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Telephone | 406-632-4532
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Fax | 406-632-5674
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Provider Business Mailing Address
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Address Line | 206 STONER LOOP
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City | LAKESIDE
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State | MT
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Zip | 59922-8503
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Country | US
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Telephone | 406-844-2103
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Fax | 406-844-2106
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | JUSTIN VANCAMPEN
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Credential | PHARMD
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Telephone | 406-632-4532
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHA-PHR-LIC-24556
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License Number State | MT
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