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NPI Code Detail

MEDICARE: ST JOHNS LUTHERAN MINISTRIES, INC

MEDICARE: ST JOHNS LUTHERAN MINISTRIES, 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
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy1018MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12052029OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487643318
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST JOHNS LUTHERAN MINISTRIES, INC
Provider Business Mailing Address
First Line : 3940 RIMROCK RD
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0141
Country : US
Telephone Number : 406-655-5827
Fax Number : 406-655-5610
Provider Business Practice Location Address
First Line : 3940 RIMROCK RD
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0141
Country : US
Telephone Number : 406-655-5827
Fax Number : 406-655-5610
Authorized Official
Title or Position : PHARMACY DIRECTOR
Name : AIMEE HILLIS
Credential : BS, MHSA
Telephone Number : 406-655-5836
Provider Enumeration Date : 10/13/2005
Last Update Date : 09/20/2021

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Directions to “ST JOHNS LUTHERAN MINISTRIES, INC ” Practice Location

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