Edwin Bangen
Pharmacist in Missoula, MT. Individual provider (NPI-1).
NPI number1962864082
StatusActive
Last updated in NPPESMar 28, 2016
Details
- NPI
- 1962864082
- Entity type
- Individual (NPI-1)
- Name
- Edwin Bangen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2016
- Last updated
- Mar 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2615 | MT | Yes |
Practice location
2205 Oxford StMissoula, MT 59801-7936
Phone 406-549-5127 · Fax 406-721-8117
Mailing address
2205 Oxford StMissoula, MT 59801-7936
Phone 406-549-5127 · Fax 406-721-8117
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