Organization
GREGORY STOICK DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN STOICK (OWNER)
(406) 755-4103
Entity
Organization
Contact information
Practice address
142 E IDAHO ST, KALISPELL, MT 59901-4012
(406) 755-4103
(406) 755-4105
Mailing address
142 E IDAHO ST, KALISPELL, MT 59901-4012
(406) 755-4103
(406) 755-4105
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1259
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210103
—
MT
05
—
0560201
—
MT
01
—
300670
BLUE CROSS BLUE SHIELD
MT
Enumeration date
11/01/2006
Last updated
04/24/2009
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