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Glacier Ridge Pharmacy Inc

Community/Retail Pharmacy in Whitefish, MT · enumerated 2009 · authorized official Renee Wilkonski-Larson, Owner/Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659504363

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Registry record

Entity type Organization (Type 2)
Legal business name Glacier Ridge Pharmacy Inc
Other name <Unavail>
Practice address 6475 Us Highway 93 S, Whitefish, MT, 59937
Phone (406) 862-7434
Fax (406) 862-7432
Enumeration date Aug 27, 2009
Last updated in NPPES Dec 13, 2013

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 1295 (MT) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Renee Wilkonski-Larson
Title Owner/Pic
Phone (406) 370-9877

Other identifiers

Identifier Type State Issuer
1659504363 Medicaid MT -
2783567 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Glacier Ridge Pharmacy Inc?
NPPES lists Renee Wilkonski-Larson (Owner/Pic) as the authorized official for this organization.
What is the NPI number for Glacier Ridge Pharmacy Inc?
The NPI for Glacier Ridge Pharmacy Inc is 1659504363, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-13.