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NPI Code Detail

MEDICARE: ST. JOHN'S UNITED

MEDICARE: ST. JOHN'S UNITED
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 Pharmacy1018MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12052598OTHERPK

General Provider Information

NPI Number : 1902817547
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JOHN'S UNITED
Provider Business Mailing Address
First Line : 3940 RIMROCK RD
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0141
Country : US
Telephone Number : 406-655-5836
Fax Number : 406-655-5764
Provider Business Practice Location Address
First Line : 3940 RIMROCK RD
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0141
Country : US
Telephone Number : 406-655-5836
Fax Number : 406-655-5764
Authorized Official
Title or Position : PHARMACY MANAGER
Name : AIMEE HILLIS
Credential : BS
Telephone Number : 406-655-5827
Provider Enumeration Date : 08/10/2006
Last Update Date : 09/07/2021

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Directions to “ST. JOHN'S UNITED ” Practice Location

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