Healthcare Provider Details

I. General information

NPI: 1659565869
Provider Name (Legal Business Name): CHRISTOPHER DEAN HERMES RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 E MISSOULA AVE
TROY MT
59935
US

IV. Provider business mailing address

PO BOX 328 611 E. MISSOULA AVE.
TROY MT
59935-0328
US

V. Phone/Fax

Practice location:
  • Phone: 406-295-4361
  • Fax: 406-295-5326
Mailing address:
  • Phone: 406-295-4361
  • Fax: 406-295-5326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3683
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: