MONTANA STATE UNIVERSITY NPI 1073653218

NPI Information

NPI: 1073653218
Provider Name: MONTANA STATE UNIVERSITY

Doing Business As: MSU STUDENT HEALTH SERVICE PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
MSU STUDENT HEALTH SERVICE RX
7TH AND GRANT
BOZEMAN, MT
ZIP 59715
Phone: (406) 994-5498
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MONTANA STATE UNIVERSITY is a clinic pharmacy pharmacy in Bozeman, MT. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MONTANA STATE UNIVERSITY NPI is 1073653218. The provider is registered as an organization entity type.
The provider Is Doing Business As Msu Student Health Service Pharmacy.

The provider's business location address is:

MSU STUDENT HEALTH SERVICE RX
7TH AND GRANT
BOZEMAN, MT
ZIP 59715-002
Phone: (406) 994-5498
Fax: (406) 994-7071

The provider's authorized official is Jean Sternhagen .
The authorized official title is Pharmacist In Charge and has the following contact phone number (406) 994-5498.

The CLIA number assigned to this NPI record is 27D2299376 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	333600000X	Pharmacy				No
2	3336C0002X	Pharmacy	Clinic Pharmacy	PHA-PHR-LIC-390	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2049835	OTHER		PK
2	000211055	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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