406 RX PLLC
Organization Active NPI Community/Retail Pharmacy · Three Forks, MT
NPI 1477069193 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1477069193
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- 406 RX PLLC
- Practice address
- 117 N Main St Ste a
Three Forks, MT 59752-9013 - Phone
- (406) 285-3883
- Fax
- (406) 285-3877
- NPI assigned
- Dec 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Josh Fisher
- Title
- Owner/Partner
- Phone
- (406) 207-8043
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- 406 RX PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
117 N Main St Ste a
Three Forks, MT 59752-9013
Mailing address
PO Box 1469
Columbus, MT 59019-1469
Phone (406) 207-8043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477069193 | Medicaid | MT |
Other names
- THREE FORKS FAMILY PHARMACY
Other providers in Three Forks, MT
- Bates Family Diversified, LLC
- Jack Howard Berg
- Jacob Edward Boll
- Chiro-Kinetics, P.C.
- Chiropractic Clinic of Three Forks
All providers in Three Forks, 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 May 28, 2021. 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.