Provider Demographics
NPI:1922745504
Name:ST. JOHN'S LUTHERAN MINISTRIES INC
Entity Type:Organization
Organization Name:ST. JOHN'S LUTHERAN MINISTRIES INC
Other - Org Name:ST JOHN'S PHARMACY #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-655-5235
Mailing Address - Street 1:3940 RIMROCK RD STE B
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-0141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3940 RIMROCK RD STE B
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-0141
Practice Address - Country:US
Practice Address - Phone:406-655-5705
Practice Address - Fax:406-655-5610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy