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NPI Profile for NICOLE C MAYNE in BOZEMAN, MT.
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1952986200 |
|
| Status | Active | |
| Credentials | PHARM.D. (Doctor of Pharmacy) | |
| Entity | Individual | |
| Enumeration date | 03/17/2021 | |
| Last updated | 03/17/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICOLE C MAYNE
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NICOLE C MAYNE, PHARM.D.