Individual
JIMMIE ANN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 NORTHWEST BYP, GREAT FALLS, MT 59404-4124
(406) 453-3466
(406) 453-3468
Mailing address
401 NORTHWEST BYP, GREAT FALLS, MT 59404-4124
(406) 453-3466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3973
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0310903856
HPSO
MT
01
—
3979
PHARMACIST LICENCE
MT
Enumeration date
10/18/2018
Last updated
10/18/2018
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