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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 Butte Pharmacy, Intermountain Pharmacy #11
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE DUNFORD (CHIEF PHARMACY OFFICER)
(801) 284-1004
Entity
Organization
Contact information
Practice address
435 S CRYSTAL ST, STE 230, BUTTE, MT 59701-1506
(406) 723-2441
(406) 723-2799
Mailing address
435 S CRYSTAL ST, STE 230, BUTTE, MT 59701-1506
(406) 723-2441
(406) 723-2799
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
1213
MT
3336I0012X
Institutional Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215101
—
MT
01
—
2052603
PK
—
05
—
5608028
—
MT
Enumeration date
11/22/2006
Last updated
05/01/2024
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