Provider Demographics
NPI:1952361198
Name:MARRINAN F & G INC
Entity Type:Organization
Organization Name:MARRINAN F & G INC
Other - Org Name:A & C DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:KAE
Authorized Official - Last Name:MARRINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-240-2471
Mailing Address - Street 1:523 N HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4534
Mailing Address - Country:US
Mailing Address - Phone:406-721-6640
Mailing Address - Fax:406-721-7886
Practice Address - Street 1:523 N HIGGINS AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4534
Practice Address - Country:US
Practice Address - Phone:406-721-6640
Practice Address - Fax:406-721-7886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1058332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT5606081Medicaid
MT0212891Medicaid
MT5606081Medicaid