Healthcare Provider Details

I. General information

NPI: 1326763764
Provider Name (Legal Business Name): MEGAN PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2022
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3687 VETERANS DR
FORT HARRISON MT
59636-9700
US

IV. Provider business mailing address

3687 VETERANS DR
FORT HARRISON MT
59636-9700
US

V. Phone/Fax

Practice location:
  • Phone: 406-447-7572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number88457
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: