Individual
DR. MICHAEL RAY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-1030
Mailing address
3765 GALLOWAY ST APT B102, BOZEMAN, MT 59718-8699
(208) 339-5120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P8870
ID
183500000X
Pharmacist
Primary
PHA-PHA-LIC-79743
MT
3336N0007X
Nuclear Pharmacy
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Other
Enumeration date
09/12/2020
Last updated
04/02/2024
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