Individual
ACACIA MACCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 MULLAN RD, MISSOULA, MT 59808-5125
(406) 251-6060
Mailing address
289 CHIEF LOOKING GLASS RD, FLORENCE, MT 59833-6622
(406) 465-1894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-97955
MT
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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