Organization
MONTANA STATE UNIVERSITY
Active
Other names
MSU STUDENT HEALTH SERVICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN STERNHAGEN RPH (PHARMACIST IN CHARGE)
(406) 994-5498
Entity
Organization
Contact information
Practice address
MSU STUDENT HEALTH SERVICE RX, 7TH AND GRANT, BOZEMAN, MT 59715-0002
(406) 994-5498
(406) 994-7071
Mailing address
MSU STUDENT HEALTH SERVICE RX, P.O.BOX 173260, BOZEMAN, MT 59717
(406) 994-5498
(406) 994-7071
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PHA-PHR-LIC-390
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000211055
—
MT
01
—
2049835
PK
—
Enumeration date
02/07/2007
Last updated
02/23/2017
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