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Individual

DR. PHILIP MINNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
100 CHEYENNE AVE, LAME DEER, MT 59043
(406) 477-4448
(406) 477-4457
Mailing address
PO BOX 70, 100 CHEYENNE AVE, LAME DEER, MT 59043
(406) 477-4448
(406) 477-4457

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9893
NE

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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