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NPI Code Detail

MEDICARE: CHAI CHAPMON R.PH.

MEDICARE: CHAI CHAPMON R.PH.
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
1183500000XPharmacist2795MT

General Provider Information

NPI Number : 1710396163
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAI CHAPMON R.PH.
Provider Business Mailing Address
First Line : 519 S HAYNES AVE
Second Line :
City : MILES CITY
State : MT
Zip : 59301-4768
Country : US
Telephone Number : 406-234-4627
Fax Number : 406-232-0556
Provider Business Practice Location Address
First Line : 519 S HAYNES AVE
Second Line :
City : MILES CITY
State : MT
Zip : 59301-4768
Country : US
Telephone Number : 406-234-4627
Fax Number : 406-232-0556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2014
Last Update Date : 08/11/2014

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