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Contact Information

KOOTENAI DRUG AND HARDWARE INC
611 E MISSOULA AVE
TROY, MT59935
 Phone: 406-295-4361
 Fax: 406-295-5326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KOOTENAI DRUG AND HARDWARE INC

NPI # 1912940297
LBN Legal business name KOOTENAI DRUG AND HARDWARE INC
Authorized official CHRISTOPHER HERMES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 02/27/2015 - About 11 years ago
Identifiers
MT License # 1150
MT Medicaid 0214455
Other 2050152 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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