# MONTANA STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSU STUDENT HEALTH SERVICE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073653218
- **Authorized official:** JEAN STERNHAGEN RPH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (406) 994-5498

## Contact information

- **Practice address:** MSU STUDENT HEALTH SERVICE RX, 7TH AND GRANT, BOZEMAN, MT 59715-0002
- **Practice address phone:** (406) 994-5498
- **Practice address fax:** (406) 994-7071
- **Mailing address:** MSU STUDENT HEALTH SERVICE RX, P.O.BOX 173260, BOZEMAN, MT 59717
- **Mailing address phone:** (406) 994-5498
- **Mailing address fax:** (406) 994-7071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | PHA-PHR-LIC-390 | MT | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 02/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000211055 | — | MT |
| 01 | — | 2049835 | PK | — |
