Organization
GLACIER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN CLARK RPH (OWNER)
(406) 873-0404
Entity
Organization
Contact information
Practice address
601 W MAIN ST STE 1A, CUT BANK, MT 59427-2832
(406) 873-0404
Mailing address
601 W MAIN ST STE 1A, CUT BANK, MT 59427-2832
(406) 873-0404
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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