Organization
KCS WESTERN DRUG INC
Active
Organization
KCS WESTERN DRUG INC
Active
Other names
WESTERN DRUG OF LIVINGSTON
Organization subpart
No
Provider details
NPI number
Authorized official
KARI VONDRA (OWNER)
(406) 222-7332
Entity
Organization
Contact information
Practice address
1313 W PARK ST, LIVINGSTON, MT 59047-2900
(406) 222-7332
(406) 222-7370
Mailing address
1313 W PARK ST, LIVINGSTON, MT 59047-2900
(406) 222-7332
(406) 222-7370
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1145
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011003271
US FLU
MT
05
—
1699807321
—
MT
01
—
2703331
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
P00423568
RR FLU
MT
Enumeration date
03/09/2007
Last updated
12/11/2020
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