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NPI Code Detail

MEDICARE: DR. NATALIE MARIE WATERFALL PHARMD

MEDICARE: DR. NATALIE MARIE WATERFALL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5613MT

General Provider Information

NPI Number : 1033314661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATALIE MARIE WATERFALL PHARMD
Provider Business Mailing Address
First Line : 3801 SPRING CREEK RD
Second Line :
City : LAUREL
State : MT
Zip : 59044-8900
Country : US
Telephone Number : 406-256-7375
Fax Number :
Provider Business Practice Location Address
First Line : 670 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-3224
Country : US
Telephone Number : 406-245-6979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 09/21/2012

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