Provider Demographics
NPI:1275702987
Name:ST PETER'S HOSPITAL
Entity Type:Organization
Organization Name:ST PETER'S HOSPITAL
Other - Org Name:HOMELINK PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:LITERSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:406-444-2355
Mailing Address - Street 1:2475 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4928
Mailing Address - Country:US
Mailing Address - Phone:406-444-2355
Mailing Address - Fax:406-447-2407
Practice Address - Street 1:2475 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4928
Practice Address - Country:US
Practice Address - Phone:406-444-2355
Practice Address - Fax:406-447-2407
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST PETER'S HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-27
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT790251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion