Organization
GARY AND LEOS INC
Active
Organization
GARY AND LEOS INC
Active
Other names
Gary & Leo's Pharmacy, HEALTH MART
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEE MALISANI (SECRETARY/TREASURER)
(406) 399-0706
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
(406) 265-1229
(406) 265-3256
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1256
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679746549
—
MT
01
—
2052668
PK
—
Enumeration date
04/10/2008
Last updated
10/07/2024
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