Haines Drug Eureka, Inc.
Organization Active NPI Community/Retail Pharmacy · Eureka, MT
NPI 1649222001 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1649222001
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 787 (MT)
- Legal business name
- HAINES DRUG EUREKA, INC.
- Practice address
- 998 Hwy. 93 N.
Eureka, MT 59917 - Phone
- (406) 297-3496
- Fax
- (406) 297-7496
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Justin S Mackenzie, PHARM. D
- Title
- Pharmacist/Assistant Manager
- Phone
- (406) 297-3496
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 787 | MT | Yes |
Addresses
Primary practice location
998 Hwy. 93 N.
Eureka, MT 59917
Mailing address
998 Highway 93 North
Eureka, MT 59917
Phone (406) 297-3496
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214552 | Medicaid | MT | |
| 787 | Other | MT | MT PHARMACY # |
| 2705323 | Other | MT | NABP # |
Other names
- Haines Drug
Other providers in Eureka, MT
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- Lynette Ann Zuidema Haun
- Melinda Diane Heinz
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All providers in Eureka, 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 Mar 7, 2023. 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.