MOTHERS' MILK BANK OF MONTANA NPI 1407361736

NPI Information

MOTHERS' MILK BANK OF MONTANA is a parenteral and enteral nutrition durable medical equipment medical supplies in Missoula, MT. MOTHERS' MILK BANK OF MONTANA NPI is 1407361736. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2825 STOCKYARD RD STE C1
MISSOULA, MT
ZIP 59808-502
Phone: (406) 531-6789
Fax: (888) 287-1423

The provider's authorized official is Jessica Welborn .
The authorized official title is Executive Director and has the following contact phone number (406) 531-6789.

The enumeration date for this NPI number is 12/8/2017 and was last updated on 12/15/2017.

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:

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