Individual
DEBORAH LIECHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1159 S CENTRAL AVE, SIDNEY, MT 59270-5219
(406) 482-6401
Mailing address
1159 S CENTRAL AVE, SIDNEY, MT 59270-5219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-55379
MT
183500000X
Pharmacist
S023366
AZ
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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