Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glacier Ridge Pharmacy Inc

Organization Pharmacy · NPI 1205062098

Glacier Ridge Pharmacy Inc is a Pharmacy in Kalispell, Montana. Licensed in Montana. Registered with an NPI since 2009.

Licensed in
MT
In the registry since
2009
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 1st Avenue East N
Kalispell, MT 59901-4001
Phone: (406) 755-7979
Fax: (406) 755-7981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 1288 (MT)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1205062098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Wilkonski-Larson — Owner/Manager/Pic · (406) 370-9877
Other names Glacier Ridge Pharmacy
NPI enumeratedJune 7, 2009
Last updated in NPPESSeptember 18, 2009
Mailing address55 1st Avenue East N, Kalispell, MT 59901-4001

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