Individual
AMANDA L. JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
35401 MISSION DR., ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-3529
Mailing address
P.O. BOX 880, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-3529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25688
MT
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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