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GLACIER RIDGE PHARMACY
NPI 1205062098
Pharmacy - Community/Retail Pharmacy in Kalispell, MT

Active since June 07, 2009
55 1ST AVENUE EAST N, KALISPELL, MT 59901(406) 755-7979(406) 755-7981 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glacier Ridge Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLACIER RIDGE PHARMACY (NPI 1205062098) is a healthcare organization registered as a community/retail pharmacy in Kalispell, Montana and active in the NPI registry since June 2009. The organization lists Renee Wilkonski-larson, Owner/manager/pic, as its authorized official.

NPPES Registry Identity

NPI1205062098
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGLACIER RIDGE PHARMACY INC
Location Address55 1ST AVENUE EAST NKalispell, MT 59901-4001
Mailing Address55 1st Avenue East NKalispell, MT 59901-4001 · (406) 755-7979 · Fax (406) 755-7981
Phone(406) 755-7979
Fax(406) 755-7981
Organization SubpartNo
Authorized OfficialRenee Wilkonski-larsonOwner/manager/pic · (406) 370-9877
Enumeration DateJune 7, 2009
Last NPPES UpdateSeptember 18, 2009
✔ NPI 1205062098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MT · 1288
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
55 1ST AVENUE EAST N, Kalispell, MT 59901
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Other Names 1

Doing Business AsGlacier Ridge Pharmacy

Other Identifiers 3

Other2783531Ncpdp Provider Identification Number
Medicaid1205062098MT
Medicare NSC6255510001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glacier Ridge Pharmacy Inc's NPI number?

The NPI number for Glacier Ridge Pharmacy Inc is 1205062098. It was assigned to this organization in the NPPES registry on June 7, 2009. The provider is doing business as Glacier Ridge Pharmacy.

Where is Glacier Ridge Pharmacy Inc located?

Glacier Ridge Pharmacy Inc is located at 55 1st Avenue East N, Kalispell, MT 59901. The listed phone number is (406) 755-7979.

What is Glacier Ridge Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Glacier Ridge Pharmacy Inc was last updated on September 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.