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UNIVERSITY OF MONTANA NPI 1366593345


NPI Information

NPI: 1366593345
Provider Name: UNIVERSITY OF MONTANA

Doing Business As: HEALTH SERVICE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 27D2232691

Address:
634 EDDY AVE
MISSOULA, MT
ZIP 59801
Phone: (406) 243-5171
Get Directions

UNIVERSITY OF MONTANA is a pharmacy in Missoula, MT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. UNIVERSITY OF MONTANA NPI is 1366593345. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Service Pharmacy.

The provider's business location address is:

634 EDDY AVE
MISSOULA, MT
ZIP 59801
Phone: (406) 243-5171
Fax: (406) 243-6185

The provider's authorized official is Kenneth Robert Chatriand .
The authorized official title is Pharmacy Manager and has the following contact phone number (406) 243-5171.

The CLIA number assigned to this NPI record is 27D2232691 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 4/29/2020.


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 Supplies307MONTANANo
2333600000XPharmacy307MONTANAYes

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
10212568MEDICAIDMONTANA

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

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