Individual
MARY SINAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 N RESERVE ST, MISSOULA, MT 59808-1321
(406) 728-1118
Mailing address
2230 N RESERVE ST, MISSOULA, MT 59808-1321
(406) 728-1118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6309
MT
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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