MEDICARE: COMPREHENSIVE PHARMACY SERVICES LLC

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
1	3336L0003X	Long Term Care Pharmacy	970	MT
2	3336L0003X	Long Term Care Pharmacy	1342	MT

Other Identifiers

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

General Provider Information

NPI Number	:	1336244110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE PHARMACY SERVICES LLC

Provider Business Mailing Address
First Line	:	655 METRO PL S STE 450
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-3388
Country	:	US
Telephone Number	:	901-748-0470
Fax Number	:	614-766-0101

Provider Business Practice Location Address
First Line	:	58 GARNET WAY
Second Line	:
City	:	WARM SPRINGS
State	:	MT
Zip	:	59756
Country	:	US
Telephone Number	:	406-693-7178
Fax Number	:	406-693-7181

Authorized Official
Title or Position	:	PRESIDENT, CHIEF OPERATING OFFICER
Name	:	MICHAEL MCCARRELL
Credential	:
Telephone Number	:	740-816-2499

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	12/01/2022

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Directions to “COMPREHENSIVE PHARMACY SERVICES LLC ” Practice Location

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