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ROCKY MOUNTAIN PHARMACY NPI 1659590172


NPI Information

NPI: 1659590172
Provider Name: ROCKY MOUNTAIN PHARMACY
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
25 N WILLSON AVE
SUITE C
BOZEMAN, MT
ZIP 59715
Phone: (406) 587-4332
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ROCKY MOUNTAIN PHARMACY is a compounding pharmacy pharmacy in Bozeman, MT. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. ROCKY MOUNTAIN PHARMACY NPI is 1659590172. The provider is registered as an organization entity type.

The provider's business location address is:

25 N WILLSON AVE
SUITE C
BOZEMAN, MT
ZIP 59715-585
Phone: (406) 587-4332

The provider's authorized official is Holly G Rotar .
The authorized official title is Pharmacist and has the following contact phone number (406) 587-4332.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.


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
13336C0004XPharmacyCompounding Pharmacy1015MONTANAYes

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
10211769MEDICAIDMONTANA

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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