Organization
GLASGOW CLINIC, INC.
Active
Other names
5th Avenue Pharmacy & Gift
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PAGE RPH (PHARMACIST-IN-CHARGE)
(406) 672-9588
Entity
Organization
Contact information
Practice address
621 3RD ST S, GLASGOW, MT 59230-2604
(406) 228-3693
(406) 228-3694
Mailing address
621 3RD ST S, GLASGOW, MT 59230-2604
(406) 228-3693
(406) 228-3694
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1223
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000180349
—
MT
01
—
2050167
PK
—
01
—
8029760001
MEDICARE NSC
—
Enumeration date
08/01/2006
Last updated
06/15/2022
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