Provider Demographics
NPI:1528006210
Name:PRICE RITE DRUG, LLC
Entity Type:Organization
Organization Name:PRICE RITE DRUG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:406-587-0608
Mailing Address - Street 1:910 N 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2500
Mailing Address - Country:US
Mailing Address - Phone:406-587-0608
Mailing Address - Fax:406-587-1375
Practice Address - Street 1:910 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2500
Practice Address - Country:US
Practice Address - Phone:406-587-0608
Practice Address - Fax:406-587-1375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0566020Medicaid
MT0640662Medicaid
MT0640662Medicaid