Healthcare Provider Details

I. General information

NPI: 1710785290
Provider Name (Legal Business Name): ALLAN HUANG RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W MAIN ST
CUT BANK MT
59427-2823
US

IV. Provider business mailing address

309 5TH AVE SE APT 3
CUT BANK MT
59427-3536
US

V. Phone/Fax

Practice location:
  • Phone: 406-873-2055
  • Fax:
Mailing address:
  • Phone: 213-886-4656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHAPHALIC11125
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: