Healthcare Provider Details

I. General information

NPI: 1114015344
Provider Name (Legal Business Name): PUBLIC DRUG CO., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 CENTRAL AVE
GREAT FALLS MT
59401
US

IV. Provider business mailing address

324 CENTRAL AVE
GREAT FALLS MT
59401-3114
US

V. Phone/Fax

Practice location:
  • Phone: 406-452-3106
  • Fax: 406-453-7925
Mailing address:
  • Phone: 406-452-3106
  • Fax: 406-453-7925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number135
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JESSICA CARDWELL
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 406-781-3903