Organization Name: | VENDOR PRO CORPORATION |
NPI Number: | 1962823054 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TYLER D BOHANNON (CEO) |
Mailing Address: | 804 N 19th Ave Suite 2b Bozeman |
State: | MT US |
Postal Code: | 597186928 |
Phone Number: | 8667438396 |
Fax Number: | 8667438396 |
NPI Enumeration Date: | 12/17/2013 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | PHA-WDD-LIC-21852 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |