Individual
IAN MCGRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(406) 202-5564
Mailing address
3475 COVE VIEW DR, HELENA, MT 59602-8958
(406) 202-5564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP446153
PA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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