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NPI Code Detail

MEDICARE: PLENTYWOOD DRUG INC.

MEDICARE: PLENTYWOOD DRUG INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy984MT
2332B00000XDurable Medical Equipment & Medical Supplies984MT
3332BP3500XParenteral & Enteral Nutrition Supplies (DME)984MT
43336C0003XCommunity/Retail Pharmacy984MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21073514428OTHERMTMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073514428
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLENTYWOOD DRUG INC.
Provider Business Mailing Address
First Line : 119 N MAIN ST
Second Line :
City : PLENTYWOOD
State : MT
Zip : 59254-1817
Country : US
Telephone Number : 406-765-1810
Fax Number :
Provider Business Practice Location Address
First Line : 119 N MAIN ST
Second Line :
City : PLENTYWOOD
State : MT
Zip : 59254-1817
Country : US
Telephone Number : 406-765-1810
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. MARVIN A EBERLING
Credential : R.PH
Telephone Number : 406-765-1810
Provider Enumeration Date : 08/09/2005
Last Update Date : 01/21/2016

Similar Medicare Providers

1285651935 — MRS. KATHRYN M EBERLING RPH
Practice Location Address:
119 N MAIN ST
PLENTYWOOD, MT
59254-1817
Practice Phone: 406-765-1810
Practice Fax: 406-765-1811
1003837592 — MR. MARVIN A. EBERLING RPH
Practice Location Address:
119 N MAIN ST
PLENTYWOOD, MT
59254-1817
Practice Phone: 406-765-1810
Practice Fax: 406-765-1811
1568477974 — MR. ROBERT CONWAY MANN
Practice Location Address:
119 N MAIN ST
PLENTYWOOD, MT
59254-1817
Practice Phone: 406-765-1810
Practice Fax:
1164691952 — KRISTEN KIEMELE BERNTSON PHARM.D.
Practice Location Address:
119 N MAIN ST
PLENTYWOOD, MT
59254-1817
Practice Phone: 406-765-1810
Practice Fax: 406-765-1811
1447825955 — KIRSTEN TRYAN PHARMD
Practice Location Address:
119 N MAIN ST
PLENTYWOOD, MT
59254-1817
Practice Phone: 406-765-1810
Practice Fax:
1720081201 — TOM RICHARD LIDAHL D.M.D.
Practice Location Address:
223 N MAIN ST
PLENTYWOOD, MT
59254-1843
Practice Phone: 406-765-2700
Practice Fax: 406-765-1514

Directions to “PLENTYWOOD DRUG INC. ” Practice Location

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