Individual
DR. SHAYNA RAE KILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
2230 N RESERVE ST, MISSOULA, MT 59808-1321
(406) 728-1118
Mailing address
2006 LAURIN CT, MISSOULA, MT 59801-7047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
88979
MT
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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