Whalio Doctors

NPI 1114245867

Sweetwater, LLC

Organisation Non-Pharmacy Dispensing Site Missoula, MT

Practice location

Address
5707 W Harrier Dr, Missoula, MT 59808-5345
Phone
(406) 541-0420

Authorised official

Name
Gabriel McMurray
Title
Owner
Phone
(406) 541-0420

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence BL20100152 (MT)

Registry record

NPI
1114245867
Entity type
Organization
NPI issued
5 May 2010
Record last updated
5 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.