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NPI Code Detail

MEDICARE: EILEEN COLVILL RPH

MEDICARE: EILEEN COLVILL RPH
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
1183500000XPharmacistPHA-PHA-LIC-3060MT

General Provider Information

NPI Number : 1326457995
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN COLVILL RPH
Provider Business Mailing Address
First Line : 1649 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-4043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1649 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-4043
Country : US
Telephone Number : 406-254-2947
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2014
Last Update Date : 08/08/2014

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