Provider Information for 1154480861
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WHITEHALL PHARMACY INC
Other Names:Doing Business As:WHITEHALL DRUGOrganization Subpart: NO
NPI: 1154480861
Last Updated: 2020-12-09
Certification Date: 2020-12-09
Certification Date: 2020-12-09
Details
Name | Value | ||||||||||||||||
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NPI | 1154480861 | ||||||||||||||||
Enumeration Date | 2006-12-08 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: CLIFFORD JOSH MORRIS Pharm D Title: Owner Phone: 4062873931 | ||||||||||||||||
Mailing Address | PO BOX 26 BOULDER, MT 59632-0026 United States Phone: 406-287-3931 | Fax:406-287-9294 | ||||||||||||||||
Primary Practice Address | 411 E LEGION ST WHITEHALL, MT 59759-7743 United States Phone: 406-287-3931 | Fax:406-287-9294 | ||||||||||||||||
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