Individual
TERRY L. WHITECOTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860
(406) 745-3525
(406) 745-3529
Mailing address
P.O. BOX 880, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-3529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47492
MT
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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