Organization
CLINIC UNITED PHARMACY, INC.
Active
Other names
CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LEVANDOWSKI RPH (PRESIDENT)
(406) 771-3399
Entity
Organization
Contact information
Practice address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(406) 771-3399
(406) 727-4399
Mailing address
PO BOX 7213, GREAT FALLS, MT 59406-7213
(406) 771-3399
(406) 727-4399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1245
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000211627
—
MT
01
—
2050289
PK
—
Enumeration date
11/17/2006
Last updated
03/30/2016
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