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NPI Code Detail

MEDICARE: DR. TONY R PURDY PHARMD

MEDICARE: DR. TONY R PURDY PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist00039736WA

General Provider Information

NPI Number : 1144216698
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TONY R PURDY PHARMD
Provider Business Mailing Address
First Line : 6046 HAZELWOOD DR
Second Line :
City : BILLINGS
State : MT
Zip : 59106-9547
Country : US
Telephone Number : 719-339-0417
Fax Number :
Provider Business Practice Location Address
First Line : 1775 SPRING CREEK LN
Second Line :
City : BILLINGS
State : MT
Zip : 59102-6754
Country : US
Telephone Number : 719-339-0417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 08/20/2021

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