Provider Demographics
NPI:1578019832
Name:SCHWEND, LEANNA
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:
Last Name:SCHWEND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:MT
Mailing Address - Zip Code:59327-0289
Mailing Address - Country:US
Mailing Address - Phone:406-346-2134
Mailing Address - Fax:406-346-2136
Practice Address - Street 1:1025 MAIN STREET
Practice Address - Street 2:YELLOWSTONE PHARMACY
Practice Address - City:FORSYTH
Practice Address - State:MT
Practice Address - Zip Code:59327-0289
Practice Address - Country:US
Practice Address - Phone:406-346-2134
Practice Address - Fax:406-346-2136
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-5902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist