Provider Demographics
NPI:1093945750
Name:MCLAUGHLIN, MIRANDA DENISE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MIRANDA
Middle Name:DENISE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MIRANDA
Other - Middle Name:
Other - Last Name:DICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3137 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6570
Mailing Address - Country:US
Mailing Address - Phone:406-652-8371
Mailing Address - Fax:
Practice Address - Street 1:3137 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6570
Practice Address - Country:US
Practice Address - Phone:406-652-8371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist