South Hills Pharmacy Inc

LBN: South Hills Pharmacy Inc
South Hills Pharmacy Inc is an health care organization with primary practice located at 2600 Winne Ave , Helena MT 59601-4900. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. South Hills Pharmacy Inc can be contacted via phone (406) 443-2540, or through Bergum, Ron via phone (406) 443-2540.

Contact Information

Primary practice address
2600 Winne Ave Helena MT 59601-4900
Phone: (406) 443-2540
Fax: (406) 443-2071
Website:
Map and Directions
Authorized official contact:
Name: Bergum, Ron
Phone: (406) 443-2540

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 20376 Montana

Profile Details

NPI number 1639190689
LBN Legal business name South Hills Pharmacy Inc
DBA Doing business as South Hills Pharmacy Inc
Authorized official Bergum, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Jan 2nd, 2014 - about 11 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 1639190689 NPPES
Montana MEDICAID 0000129047
Montana Other 2052587

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