Individual
MARY MIKESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(406) 447-7081
Mailing address
3687 VETERANS DR, PHARMACY SERVICES, FORT HARRISON, MT 59636
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PHA-PHA-LIC-54925
MT
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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