Organization
GARY AND LEOS INC
Active
Parent organization
GARY AND LEO'S INC.
Other names
Gary & Leo's Pharmacy, Gary & Leo's Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY AND LEO'S INC.
Authorized official
LAURA LEE MALISANI (TREASURER)
(406) 265-1404
Entity
Organization
Contact information
Practice address
730 1ST ST, HAVRE, MT 59501-3702
(406) 265-1229
(406) 265-3256
Mailing address
730 1ST ST, HAVRE, MT 59501-3702
(406) 265-1229
(406) 265-3256
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679746549
—
MT
Enumeration date
10/01/2021
Last updated
10/01/2021
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