Individual
KERRY J HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4789
(406) 258-4732
Mailing address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4789
(406) 258-4732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6071
MT
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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