Individual
MATTHEW JAY FAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2330 HIGHWAY 93 NORTH, KALISPELL, MT 59901
(406) 758-2528
(406) 758-2525
Mailing address
115 ASPEN LOOP, KALISPELL, MT 59901-3311
(406) 756-6596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3802
MT
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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