OrganizationActive
Jak Shields, LLC
NPI 1669132379 · Compounding Pharmacy · Missoula, MT
Provider details
- NPI number
- 1669132379
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kelly Shields, Owner/Pic(406) 542-2888
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
111 N Higgins Ave Ste 5
Missoula, MT 59802-4494
Phone: (406) 542-2888
Fax: (406) 542-9380
Approximate (ZIP-level) locationGet directions
Mailing address
111 N Higgins Ave Ste 101
Missoula, MT 59802-4437
Other names (DBA / former)
- Doing business as
- Montana Rx Compounders
- Doing business as
- Montana Rx Compounders
Registry dates
- Enumerated
- 2021-12-21
- Last updated
- 2023-03-08
- Certified
- 2023-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.