Healthcare Provider Details

I. General information

NPI: 1861412843
Provider Name (Legal Business Name): JEFF DUFF DORRINGTON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FORT HARRISON VA MEDICAL CENTER 1892 WILLIAMS ST
FORT HARRISON MT
59636
US

IV. Provider business mailing address

PO BOX 56
FORT HARRISON MT
59636-0056
US

V. Phone/Fax

Practice location:
  • Phone: 406-447-5788
  • Fax:
Mailing address:
  • Phone: 406-443-4891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2635
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: