Provider Demographics
NPI:1770945727
Name:BELLEW, SPENCER (PHARMD)
Entity type:Individual
Prefix:
First Name:SPENCER
Middle Name:
Last Name:BELLEW
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 1:611 N 27TH ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1112
Mailing Address - Country:US
Mailing Address - Phone:406-259-1441
Mailing Address - Fax:406-248-5209
Practice Address - Street 1:611 N 27TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1112
Practice Address - Country:US
Practice Address - Phone:406-259-1441
Practice Address - Fax:406-248-5209
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-25651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist