Individual
SHEA ADAIR FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 457-4180
Mailing address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 457-4180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-39530
MT
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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