Healthcare Provider Details

I. General information

NPI: 1124923248
Provider Name (Legal Business Name): MEGAN MARIE BINGHAM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 CENTRAL AVE
STANFORD MT
59479-9582
US

IV. Provider business mailing address

PO BOX 208
HOBSON MT
59452-0208
US

V. Phone/Fax

Practice location:
  • Phone: 406-566-2288
  • Fax:
Mailing address:
  • Phone: 406-566-2288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA-PHA-LIC-78735
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: