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NPI Code Detail

MEDICARE: MIKE FISK RPH

MEDICARE: MIKE FISK 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
1183500000XPharmacist3228MT

General Provider Information

NPI Number : 1558296269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKE FISK RPH
Provider Business Mailing Address
First Line : 45 THREE BEARS DR
Second Line :
City : BUTTE
State : MT
Zip : 59701-7171
Country : US
Telephone Number : 406-494-4116
Fax Number : 406-494-4486
Provider Business Practice Location Address
First Line : 45 THREE BEARS DR
Second Line :
City : BUTTE
State : MT
Zip : 59701-7171
Country : US
Telephone Number : 406-494-4116
Fax Number : 406-494-4486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ MIKE FISK RPH” Practice Location

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