Mackenzie, Justin

Mackenzie, Justin is an individual health care provider with primary practice located at 6580 Us Highway 93 S , Whitefish MT 59937-2959. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mackenzie, Justin can be contacted via phone (406) 862-2526.

Contact Information

Primary practice address
6580 Us Highway 93 S Whitefish MT 59937-2959
Phone: (406) 862-2526
Fax: (406) 862-6294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 3990 Montana

Profile Details

NPI number 1376828335
LBN Legal business name Mackenzie, Justin
Credentials PHARM D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2011
Last updated Mar 9th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376828335 NPPES
Montana Other 3990 MT PHARMACIST LICENSE #

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