Individual
AMBER VICTORIA WALKS OVER ICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 HOSPITAL ROAD, CROW AGENCY, MT 59022-0000
(406) 638-3578
(406) 638-3326
Mailing address
1 HOSPITAL ROAD, CROW AGENCY, MT 59022-0000
(406) 638-3578
(406) 638-3326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20988
MT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PHA-PHA-LIC-20988
MT
Other
Enumeration date
12/04/2013
Last updated
11/03/2016
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