Provider Demographics
NPI:1598419871
Name:MONTANA APOTHECARY & COMPOUNDING LLC
Entity Type:Organization
Organization Name:MONTANA APOTHECARY & COMPOUNDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELBI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRIELING
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:406-781-9713
Mailing Address - Street 1:1921 11TH AVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405
Mailing Address - Country:US
Mailing Address - Phone:406-564-0325
Mailing Address - Fax:
Practice Address - Street 1:1921 11TH AVE SOUTH
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405
Practice Address - Country:US
Practice Address - Phone:406-564-0325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy