Organization
COMMUNITY NURSING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A. WEICHERT (AUTHORIZED OFFICIAL)
(952) 361-8000
Entity
Organization
Contact information
Practice address
2651 SOUTH AVE W, MISSOULA, MT 59804-6405
(406) 728-9162
(406) 543-8128
Mailing address
1107 HAZELTINE BLVD STE 200, CHASKA, MN 55318-1070
(952) 361-8000
(952) 361-8060
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHA-PHR-LIC-458
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050174
PK
—
05
—
310180
—
MT
Enumeration date
12/27/2006
Last updated
11/02/2017
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