Individual
KRISTY FARAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 PROSPECT AVE, HELENA, MT 59601-9741
(406) 443-3455
Mailing address
2750 PROSPECT AVE, HELENA, MT 59601-9741
(406) 443-3455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3025
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3025
PHARMACY LIC
MT
Enumeration date
12/15/2016
Last updated
12/15/2016
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