Individual
MARKIE COLLINS GLIDEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
2527 N RESERVE ST, MISSOULA, MT 59808-1313
(406) 543-1163
Mailing address
3014 TINA AVENUE APT 401, MISSOULA, MT 59808
(406) 241-6465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-46985
MT
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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