Organization
KC WESTERN DRUG
Active
Other names
Western Drug, too
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI W VONDRA (OWNER)
(406) 222-7332
Entity
Organization
Contact information
Practice address
105 E 1ST, CLYDE PARK, MT 59018-0000
(406) 686-4270
Mailing address
PO BOX 337, CLYDE PARK, MT 59018-0337
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1317
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1317
MONTANA PHARMACY LICENCE-1317
MT
Enumeration date
10/18/2010
Last updated
03/07/2023
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