Individual
KURT BROCKHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2290 KING AVE WEST, BILLINGS, MT 59102
(406) 652-8556
(406) 656-4069
Mailing address
2290 KING AVE W, BILLINGS, MT 59102-7415
(406) 652-8556
(406) 656-4069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3362
MT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
3362
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3362
MT LIC#
MT
Enumeration date
10/05/2014
Last updated
02/18/2020
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