| NPI | 1013689660 |
|---|---|
| Doing Business As | GARY & LEO'S PHARMACY |
| Other Name | GARY & LEO'S PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | LAURA LEE MALISANI Treasurer 406-265-1404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |