Individual
JUSTIN MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
6580 US HIGHWAY 93 S, WHITEFISH, MT 59937-2959
(406) 862-2526
(406) 862-6294
Mailing address
6580 US HIGHWAY 93 S, WHITEFISH, MT 59937-2959
(406) 862-2526
(406) 862-6294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3990
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3990
MT PHARMACIST LICENSE #
MT
Enumeration date
10/20/2011
Last updated
03/09/2016
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