Provider Demographics
NPI:1942971197
Name:NAHRING, TIMOTHY CRAIG (PHARMD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:CRAIG
Last Name:NAHRING
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 1:4111 CHELSEA DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-5897
Mailing Address - Country:US
Mailing Address - Phone:360-518-9612
Mailing Address - Fax:
Practice Address - Street 1:1150 11TH AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3838
Practice Address - Country:US
Practice Address - Phone:406-442-1265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-79820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist