Healthcare Provider Details

I. General information

NPI: 1306126362
Provider Name (Legal Business Name): CYNTHIA LYNN GARY PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N 29TH ST
BILLINGS MT
59101
US

IV. Provider business mailing address

2211 ELM ST
BILLINGS MT
59101-0516
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-2040
  • Fax:
Mailing address:
  • Phone: 406-951-4175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number6646
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6646
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: