Provider Demographics
NPI:1144216698
Name:PURDY, TONY R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:R
Last Name:PURDY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6046 HAZELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-9547
Mailing Address - Country:US
Mailing Address - Phone:719-339-0417
Mailing Address - Fax:
Practice Address - Street 1:1775 SPRING CREEK LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6754
Practice Address - Country:US
Practice Address - Phone:719-339-0417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000397361835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy