MEDICARE: DAX ASHER RICE 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PHA-PHA-LIC-7389	MT

General Provider Information

NPI Number	:	1932874211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAX ASHER RICE RPH

Provider Business Mailing Address
First Line	:	2522 SILVER SPUR TRL
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59105-3763
Country	:	US
Telephone Number	:	406-694-4049
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 GRAND AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2623
Country	:	US
Telephone Number	:	406-252-6334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	08/10/2021

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