# SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intermountain Health King Avenue Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215639661
- **Authorized official:** CARRIE DUNFORD (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (801) 284-1004

## Contact information

- **Practice address:** 602 HENRY CHAPPLE ST, BILLINGS, MT 59106-1874
- **Practice address phone:** (406) 237-3560
- **Practice address fax:** (406) 206-5794
- **Mailing address:** 500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
- **Mailing address phone:** (303) 272-0566
- **Mailing address fax:** (303) 272-0390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/20/2023
- **Last updated:** 03/20/2023