Provider Demographics
NPI:1588181994
Name:BILLMAYER, ANGELA JEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:JEAN
Last Name:BILLMAYER
Suffix:
Gender:F
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:PO BOX 536
Mailing Address - Street 2:
Mailing Address - City:CHINOOK
Mailing Address - State:MT
Mailing Address - Zip Code:59523-0536
Mailing Address - Country:US
Mailing Address - Phone:406-399-1079
Mailing Address - Fax:
Practice Address - Street 1:300 INDIANA STREET
Practice Address - Street 2:
Practice Address - City:CHINOOK
Practice Address - State:MT
Practice Address - Zip Code:59523
Practice Address - Country:US
Practice Address - Phone:406-357-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT53091835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care