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Organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Active
Organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Active
Other names
Intermountain Health King Avenue Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE DUNFORD (CHIEF PHARMACY OFFICER)
(801) 284-1004
Entity
Organization
Contact information
Practice address
602 HENRY CHAPPLE ST, BILLINGS, MT 59106-1874
(406) 237-3560
(406) 206-5794
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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