Provider Demographics
NPI:1326020066
Name:BRAND, PAUL EDWARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:EDWARD
Last Name:BRAND
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 1:5549 OLD HWY 93
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-6564
Mailing Address - Country:US
Mailing Address - Phone:406-273-7979
Mailing Address - Fax:406-273-7722
Practice Address - Street 1:5549 OLD HWY 93
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MT
Practice Address - Zip Code:59833-6564
Practice Address - Country:US
Practice Address - Phone:406-273-7979
Practice Address - Fax:406-273-7722
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT38251835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3825OtherSTATE LICENSE
MT3825OtherSTATE LICENSE