Provider Demographics
NPI:1205005451
Name:GRIFFITH, HENRY EVAN (PHARMD; RPH)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:EVAN
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:PHARMD; RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 E BROADWAY ST
Mailing Address - Street 2:PHARMACY DEPT
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4928
Mailing Address - Country:US
Mailing Address - Phone:406-444-2547
Mailing Address - Fax:406-447-2407
Practice Address - Street 1:2475 E BROADWAY ST
Practice Address - Street 2:PHARMACY DEPT
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4928
Practice Address - Country:US
Practice Address - Phone:406-444-2547
Practice Address - Fax:406-447-2407
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist