Mondak Pharmacy

LBN: Sidney Health Center
Mondak Pharmacy is an health care organization with primary practice located at 304 South Ellery Ave. , Fairview MT 59221. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sidney Health Center can be contacted via phone (406) 742-5222, or through Beyerle, Lynn Wayne via phone (406) 742-5222.

Contact Information

Primary practice address
304 South Ellery Ave. Fairview MT 59221
Phone: (406) 742-5222
Fax: (406) 742-5263
Website:
Map and Directions
Authorized official contact:
Name: Beyerle, Lynn Wayne PHARM.D.
Phone: (406) 742-5222

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 813 Montana

Profile Details

NPI number 1174537179
LBN Legal business name Sidney Health Center
DBA Doing business as Mondak Pharmacy
Authorized official Beyerle, Lynn Wayne PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174537179 NPPES
Montana MEDICAID 1509040

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