Organization Name: | TIMBER RIDGE PHARMACY, LTD |
NPI Number: | 1265767545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LANS RICHARDSON (OWNER) |
Mailing Address: | 2824 Us Highway 93 N Suite B Victor |
State: | MT US |
Postal Code: | 598759505 |
Phone Number: | 4066429898 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2009 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1297 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |