Individual
ILEEN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
50311 US HWY 93, POLSON, MT 59860-2137
(406) 883-0342
(406) 883-0469
Mailing address
50311 US HWY 93, POLSON, MT 59860-3712
(406) 883-0342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-3089
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322176
NABP
—
Enumeration date
03/23/2021
Last updated
03/23/2021
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