Individual
MS. PATRICIA J MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 MAIN ST, ROCKPORT, IN 47635-1429
(812) 649-5224
Mailing address
659 BOLING RD, UTICA, KY 42376-9171
(270) 302-5455
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67008477A
IN
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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