1225140221 NPI number — WESTERN DRUG PHARMACY

Table of content: (NPI 1225140221)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225140221 NPI number — WESTERN DRUG PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTERN DRUG PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225140221
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 631
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAVRE
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59501-0631
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 5TH AVE
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
HAVRE
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59501-3624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-265-9601
Provider Business Practice Location Address Fax Number:
406-265-4422
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DIEMERT
Authorized Official First Name:
KELCEY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
406-265-9601

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 1137 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0213486 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2764226 . This is a "OTHER ID NUMBER" identifier . This identifiers is of the category "OTHER".




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