Provider Demographics
NPI:1518268879
Name:SEROSKI, NANCY R (PHARMD RPH BS AAS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:R
Last Name:SEROSKI
Suffix:
Gender:F
Credentials:PHARMD RPH BS AAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2623
Mailing Address - Country:US
Mailing Address - Phone:406-252-6334
Mailing Address - Fax:406-238-3900
Practice Address - Street 1:2402 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2623
Practice Address - Country:US
Practice Address - Phone:406-252-6334
Practice Address - Fax:406-238-3900
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7056183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist