Plains Rexall Drug
Organization Active NPI Community/Retail Pharmacy · Plains, MT
NPI 1164537106 · NPPES record last updated Dec 12, 2008
Key facts
- NPI
- 1164537106
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 437 (MT)
- Legal business name
- PLAINS REXALL DRUG
- Practice address
- 214 Railroad St
Plains, MT 59859 - Phone
- (406) 826-3552
- Fax
- (406) 826-3599
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Larson, RPH
- Title
- Owner
- Phone
- (406) 826-3552
Practitioners 6
-
Ryan Trevor Hamilton, PHARMD, RPH
-
Andrea Ruth Holmes, RPH
-
Ashley Kaye Holmes, PHARMD
-
Brayden Michael Leake, PHARM.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 437 | MT | Yes |
Addresses
Primary practice location
214 Railroad St
Plains, MT 59859
Mailing address
PO Box 609
Plains, MT 59859-0609
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2701995 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 0215267 | Medicaid | MT | |
| 0562510 | Medicaid | MT |
Other names
- PLAINS DRUG
Other providers in Plains, MT
- Plains Hospital Corporation
- Plains Hospital Corporation
- Plains Hospital Corporation
- Plains Hospital Corporation
- Plains Physical Therapy PC
- Private Healthcare Facilities
- Diana Reetz-Stacey
- Mary Russell
- Saint Patrick Hospital and Health Sciences Center
- Matthew Blake Sherwood
All providers in Plains, MT · Community/Retail Pharmacy in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.