Provider Demographics
NPI:1982043873
Name:HARTHORN, DOROTHY (RPH)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:HARTHORN
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 1:3095 N MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0552
Mailing Address - Country:US
Mailing Address - Phone:406-443-3331
Mailing Address - Fax:406-443-3013
Practice Address - Street 1:3095 N MONTANA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-0552
Practice Address - Country:US
Practice Address - Phone:406-443-3331
Practice Address - Fax:406-443-3013
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist