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NPI Code Detail

MEDICARE: KIRSTEN TRYAN PHARMD

MEDICARE: KIRSTEN TRYAN 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
1183500000XPharmacist62958MT

General Provider Information

NPI Number : 1447825955
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN TRYAN PHARMD
Provider Business Mailing Address
First Line : 119 N MAIN ST
Second Line :
City : PLENTYWOOD
State : MT
Zip : 59254-1817
Country : US
Telephone Number : 406-765-1810
Fax Number : 406-765-1811
Provider Business Practice Location Address
First Line : 119 N MAIN ST
Second Line :
City : PLENTYWOOD
State : MT
Zip : 59254-1817
Country : US
Telephone Number : 406-765-1810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2021
Last Update Date : 05/27/2021

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Directions to “ KIRSTEN TRYAN PHARMD” Practice Location

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