# SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intermountain Health Butte Pharmacy, Intermountain Pharmacy \#11
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386719656
- **Authorized official:** CARRIE DUNFORD (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (801) 284-1004

## Contact information

- **Practice address:** 435 S CRYSTAL ST, STE 230, BUTTE, MT 59701-1506
- **Practice address phone:** (406) 723-2441
- **Practice address fax:** (406) 723-2799
- **Mailing address:** 435 S CRYSTAL ST, STE 230, BUTTE, MT 59701-1506
- **Mailing address phone:** (406) 723-2441
- **Mailing address fax:** (406) 723-2799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1213 | MT | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 05/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0215101 | — | MT |
| 01 | — | 2052603 | PK | — |
| 05 | — | 5608028 | — | MT |