MEDICARE: FAMILY PHARMACY 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0004X	Compounding Pharmacy
4	3336C0003X	Community/Retail Pharmacy	1152	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2050179	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427063999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PHARMACY INC

Provider Business Mailing Address
First Line	:	3804 EASTSIDE HWY
Second Line	:
City	:	STEVENSVILLE
State	:	MT
Zip	:	59870-2224
Country	:	US
Telephone Number	:	406-777-5002
Fax Number	:	406-777-6924

Provider Business Practice Location Address
First Line	:	3804 EASTSIDE HWY
Second Line	:
City	:	STEVENSVILLE
State	:	MT
Zip	:	59870-2224
Country	:	US
Telephone Number	:	406-777-5002
Fax Number	:	406-777-6924

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHAD A SMITH
Credential	:	RPH
Telephone Number	:	406-777-5002

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	08/03/2022

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Directions to “FAMILY PHARMACY INC ” Practice Location

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