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CORVALLIS DRUG INC NPI 1093870560


NPI Information

NPI: 1093870560
Provider Name: CORVALLIS DRUG INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 27D1026742

Address:
1029 MAIN STREET
CORVALLIS, MT
ZIP 59828
Phone: (406) 961-3221
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CORVALLIS DRUG INC is a community/retail pharmacy pharmacy in Corvallis, MT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CORVALLIS DRUG INC NPI is 1093870560. The provider is registered as an organization entity type.

The provider's business location address is:

1029 MAIN STREET
CORVALLIS, MT
ZIP 59828-009
Phone: (406) 961-3221
Fax: (406) 961-4344

The provider's authorized official is Klinton Kyp Curtis .
The authorized official title is Pharmacist and has the following contact phone number (406) 642-9891.

The CLIA number assigned to this NPI record is 27D1026742 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/26/2006 and was last updated on 7/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy1034MONTANANo
3347C00000XPrivate Vehicle13-30123MONTANANo
43336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1562822MEDICAIDMONTANA
22700791OTHERMONTANANABP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.