Healthcare Provider Details

I. General information

NPI: 1114909165
Provider Name (Legal Business Name): THOMAS E LITERSKI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 E BROADWAY ST ST PETER'S HOSPITAL PHARMACY
HELENA MT
59601-4928
US

IV. Provider business mailing address

5448 HEAD LN
HELENA MT
59602-9026
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-2355
  • Fax: 406-447-2407
Mailing address:
  • Phone: 406-444-2355
  • Fax: 406-447-2407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3236
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number29074
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number028512-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: