Butte Silver Bow Primary Health Care Clinic INC
Pharmacy, Community/Retail Pharmacy in Butte, MT. Organization (NPI-2).
NPI number1407877475
StatusActive
Last updated in NPPESFeb 12, 2026
Details
- NPI
- 1407877475
- Entity type
- Organization (NPI-2)
- Legal business name
- Butte Silver Bow Primary Health Care Clinic INC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2006
- Certification date
- Feb 12, 2026
- Last updated
- Feb 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHA-PHR-LIC-8732 | MT | Yes |
Other names
- Southwest Montana Chc Pharmacy (Doing Business As)
- Blacktail Health Pharmacy (Doing Business As)
- Community Health Center Pharmacy (Doing Business As)
Practice location
1145 S Montana StButte, MT 59701-2857
Phone 406-496-6026 · Fax 406-723-4076
Mailing address
1145 S Montana StButte, MT 59701-2857
Phone 406-496-6026 · Fax 406-723-4076
Authorized official
Kayla M Medina
Credentialing Coordinator
4064966045
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All 7 Community/Retail Pharmacy providers in Butte · All 1,051 providers in Butte
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