Healthcare Provider Details

I. General information

NPI: 1891832069
Provider Name (Legal Business Name): SHERRI A DEITZ PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MT HIGHWAY 91 S
DILLON MT
59725-7379
US

IV. Provider business mailing address

231 S NEVADA ST
DILLON MT
59725-3131
US

V. Phone/Fax

Practice location:
  • Phone: 406-683-1188
  • Fax:
Mailing address:
  • Phone: 406-702-0478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47034
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS010625
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number47034
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberS010625
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: