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General NPI Number Information
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NPI Number | 1700746757
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Entity Type | Organization
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Legal Business Name | PRAIRIE HEART PHARMACY
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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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
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Country | US
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Telephone | 406-632-4532
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 321
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City | BIG SANDY
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State | MT
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Zip | 59520-0321
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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 | OWNER
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Name | DANIELLE WEAVER
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Credential | PHARMD
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Telephone | 406-378-5588
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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 |
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License Number State |
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