Individual
ELIZABETH ANN SIDEBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5 4TH AVE. EAST, POLSON, MT 59860
(406) 883-5541
(406) 883-3512
Mailing address
P.O. BOX 880, ST IGNATIUS, MT 59865
(406) 745-3525
(406) 883-3512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
43052
CA
183500000X
Pharmacist
Primary
7915
MT
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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