Provider Demographics
NPI:1376376723
Name:DUFF, JAMIE (RPH)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:DUFF
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 1:63307 US HIGHWAY 93
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-2702
Mailing Address - Country:US
Mailing Address - Phone:406-676-2111
Mailing Address - Fax:406-676-2106
Practice Address - Street 1:63307 US HIGHWAY 93
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-2702
Practice Address - Country:US
Practice Address - Phone:406-676-2111
Practice Address - Fax:406-676-2106
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-3414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist