Individual
MARY BOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
115 N 19TH AVE, BOZEMAN, MT 59718-4072
(406) 587-9252
(406) 586-6803
Mailing address
115 N 19TH AVE, BOZEMAN, MT 59718-4072
(406) 587-9252
(406) 586-6803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3978
MT
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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