Individual
JULIE L JORGENSEN-NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
308 BROADWAY ST, TOWNSEND, MT 59644-2222
(406) 266-4379
Mailing address
115 CANVAS CT, BOZEMAN, MT 59715-8092
(406) 585-1240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2792
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2792
RPH LICENSE
MT
Enumeration date
10/17/2006
Last updated
07/08/2007
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