IndividualActive
Mary Mikeson, PHARMD
NPI 1043870462 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Harrison, MT
Provider details
- NPI number
- 1043870462
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PHA-PHA-LIC-54925 (MT)
Specialties & taxonomies
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPrimary1835P0018XLicense PHA-PHA-LIC-54925 (MT)
Pharmacy Service Providers
Practice location
3687 Veterans Dr
Fort Harrison, MT 59636-9700
Phone: (406) 447-7081
Approximate (ZIP-level) locationGet directions
Mailing address
3687 Veterans Dr
Fort Harrison, MT 59636
Registry dates
- Enumerated
- 2019-06-18
- Last updated
- 2019-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.