Healthcare Provider Details

I. General information

NPI: 1144499120
Provider Name (Legal Business Name): BRIAN J HEENEY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 E BROADWAY ST
HELENA MT
59601-4928
US

IV. Provider business mailing address

4060 BUOY BLVD
HELENA MT
59602-7052
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-2200
  • Fax:
Mailing address:
  • Phone: 406-443-7996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3605
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: