Provider Demographics
NPI:1053764191
Name:MONTAGUE, BRITNI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRITNI
Middle Name:
Last Name:MONTAGUE
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 1:2219 DILLON RD
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-9454
Mailing Address - Country:US
Mailing Address - Phone:575-769-6344
Mailing Address - Fax:575-769-7115
Practice Address - Street 1:2219 DILLON RD
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-9454
Practice Address - Country:US
Practice Address - Phone:575-769-6344
Practice Address - Fax:575-769-7115
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00008543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist