Healthcare Provider Details

I. General information

NPI: 1386534428
Provider Name (Legal Business Name): FLORENCE COMMUNITY PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5549 OLD US HIGHWAY 93
FLORENCE MT
59833-6545
US

IV. Provider business mailing address

5549 OLD US HIGHWAY 93
FLORENCE MT
59833-6545
US

V. Phone/Fax

Practice location:
  • Phone: 406-273-6565
  • Fax: 406-273-7722
Mailing address:
  • Phone: 406-273-6565
  • Fax: 406-273-7722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. COREY R HEFFERNAN
Title or Position: OWNER/PHARMACIST
Credential: PHARMD, CPP
Phone: 406-273-7979