Individual
COLIN EDENHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2611 HARRISON AVE, BUTTE, MT 59701-3759
(406) 782-5471
(406) 782-5361
Mailing address
2611 HARRISON AVE, BUTTE, MT 59701-3759
(406) 782-5471
(406) 782-5361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-58476
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43231315
WALGREENS
—
Enumeration date
09/21/2019
Last updated
11/27/2023
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