Individual
CORREENA STREETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
36318 MEMORY LN, POLSON, MT 59860-7265
(406) 883-9221
(406) 883-9341
Mailing address
36318 MEMORY LN, POLSON, MT 59860-7265
(406) 883-9221
(406) 883-9341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3769
MT
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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