Glacier Ridge Pharmacy
LBN: Glacier Ridge Pharmacy Inc
Glacier Ridge Pharmacy is an health care organization with primary practice located at 55 1St Avenue East N , Kalispell MT 59901-4001. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Glacier Ridge Pharmacy Inc can be contacted via phone (406) 755-7979, or through Wilkonski-Larson, Renee via phone (406) 370-9877.
Contact Information
Primary practice address
55 1St Avenue East N
Kalispell MT 59901-4001
Phone: (406) 755-7979
Fax: (406) 755-7981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1288 | Montana |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1205062098 |
|---|---|
| LBN Legal business name | Glacier Ridge Pharmacy Inc |
| DBA Doing business as | Glacier Ridge Pharmacy |
| Authorized official | Wilkonski-Larson, Renee RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2009 |
| Last updated | Sep 18th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205062098 | NPPES |
| Other | 2783531 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 1205062098 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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