Individual
MR. NICHOLAS MARK THENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1892 WILLIAMS STREET, FORT HARRISON, MT 59636
(406) 442-6410
Mailing address
1901 GRANT ST, HELENA, MT 59601-1865
(406) 443-4931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2952
MT
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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