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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