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Contact Information

JESSE T PARKS, RPH
600 SOUTH MAIN
STE 2
CONRAD, MT59425
 Phone: 406-278-3267
 Fax: 406-278-3851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JESSE T PARKS · (Male)

NPI # 1609956200
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 10/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 476
  • MT Medicaid 2704535
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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