IndividualActive
Crystal Ida, PHARMD
NPI 1407295728 · Pharmacist · Anaconda, MT
Provider details
- NPI number
- 1407295728
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 12343 (MT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1300 E Park Ave
Anaconda, MT 59711-2729
Phone: (406) 563-5266
Approximate (ZIP-level) locationGet directions
Mailing address
3002 Wynne Ave
Butte, MT 59701-3340
Registry dates
- Enumerated
- 2013-06-19
- Last updated
- 2013-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.