MEDICARE: DR. AMY ANN FROST 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
1	183500000X	Pharmacist	5245	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427102334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ANN FROST PHARMD

Provider Business Mailing Address
First Line	:	39 STEVENSVILLE CUTOFF RD
Second Line	:
City	:	STEVENSVILLE
State	:	MT
Zip	:	59870-6496
Country	:	US
Telephone Number	:	406-777-3446
Fax Number	:	406-777-4192

Provider Business Practice Location Address
First Line	:	39 STEVENSVILLE CUTOFF RD
Second Line	:
City	:	STEVENSVILLE
State	:	MT
Zip	:	59870-6496
Country	:	US
Telephone Number	:	406-777-3446
Fax Number	:	406-777-4192

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

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