OrganizationActive
Superior Specialty Pharmacy of Montana, LLC
NPI 1679977433 · Compounding Pharmacy · Kalispell, MT
Provider details
- NPI number
- 1679977433
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Parent organization
- Superior Specialty Pharmacy of Montana, LLC
- Authorized official
- David Grady, Managing Member/Owner
- License
- 1209 (MT)
Practice location
20 Four Mile Dr Ste 4
Kalispell, MT 59901-2644
Phone: (406) 752-0499
Fax: (406) 752-0498
Mailing address
1600 Whitefish Stage Road
Kalispell, MT 59901
Registry dates
- Enumerated
- 2014-10-22
- Last updated
- 2019-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.