Individual
DR. CHRISTINA LEE EIDEM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
219 E MAIN ST, MISSOULA, MT 59802-4423
(406) 540-5130
Mailing address
219 E MAIN ST, MISSOULA, MT 59802-4423
(406) 540-5130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60362034
WA
183500000X
Pharmacist
Primary
PHA-PHA-LIC-18611
MT
Other
Enumeration date
08/03/2013
Last updated
07/28/2020
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