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Individual

BRAYDEN MICHAEL LEAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
207 RIVER ST, PO BOX 1157, SUPERIOR, MT 59872-9673
(406) 822-4681
(406) 822-0057
Mailing address
207 RIVER ST, PO BOX 1157, SUPERIOR, MT 59872-9673
(406) 822-4681
(406) 822-0057

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-117782
MT

Other

Enumeration date
10/20/2025
Last updated
10/20/2025
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