Mining City Compounding Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Butte, MT. Organization (NPI-2).
NPI number1831512342
StatusActive
Last updated in NPPESMar 7, 2014
Details
- NPI
- 1831512342
- Entity type
- Organization (NPI-2)
- Legal business name
- Mining City Compounding Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2014
- Last updated
- Mar 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 21476 | MT | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Driscoll Drug (Doing Business As)
Practice location
327 S Excelsior AveButte, MT 59701-1536
Phone 406-723-3308 · Fax 406-782-8243
Mailing address
327 S Excelsior AveButte, MT 59701-1536
Phone 406-723-3308 · Fax 406-782-8243
Authorized official
Chad Oconnell
Owner/Operator
4067233308
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