Organization
CLINIC UNITED PHARMACY INC
Active
Other names
PLAZA UNITED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LEVANDOWSKI RPH (OWNER)
(406) 771-3399
Entity
Organization
Contact information
Practice address
2800 11TH AVE S, GREAT FALLS, MT 59405-5263
(406) 727-0070
(406) 727-1028
Mailing address
2800 11TH AVE S, GREAT FALLS, MT 59405-5263
(406) 727-0070
(406) 727-1028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1246
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051870
PK
—
05
—
216034
—
MT
Enumeration date
08/20/2006
Last updated
12/31/2015
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