Provider Demographics
NPI:1629346754
Name:KAUCHER, JOANNE M (RPH)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:M
Last Name:KAUCHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2195 E CUSTER AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-1217
Mailing Address - Country:US
Mailing Address - Phone:406-495-7049
Mailing Address - Fax:406-495-7046
Practice Address - Street 1:2195 E CUSTER AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-1217
Practice Address - Country:US
Practice Address - Phone:406-495-7049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-04
Last Update Date:2011-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3435183500000X
NY041340-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist