National Provider Identifier Database

NICOLE C MAYNE, PHARM.D. – NPI #1952986200
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

NICOLE C MAYNE, PHARM.D.
931 HIGHLAND BLVD STE 3130
BOZEMAN, MT59715-6914
Phone: 303-921-9545
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for NICOLE C MAYNE

NPI Number 1952986200
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 03/17/2021
Last updated 03/17/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • MT License #: PHA-PHA-LIC-62959
Hospital affiliation n/a

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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