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NPI Code Detail

MEDICARE: GLASGOW CLINIC, INC.

MEDICARE: GLASGOW CLINIC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy
33336C0003XCommunity/Retail Pharmacy1223MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
38029760001OTHERMEDICARE NSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12050167OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912913575
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLASGOW CLINIC, INC.
Provider Business Mailing Address
First Line : 621 3RD ST S
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2604
Country : US
Telephone Number : 406-228-3693
Fax Number : 406-228-3694
Provider Business Practice Location Address
First Line : 621 3RD ST S
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2604
Country : US
Telephone Number : 406-228-3693
Fax Number : 406-228-3694
Authorized Official
Title or Position : PHARMACIST-IN-CHARGE
Name : GREG PAGE
Credential : RPH
Telephone Number : 406-672-9588
Provider Enumeration Date : 08/01/2006
Last Update Date : 06/15/2022

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