Shaun Christian, PHARMD MBA
Individual provider Active NPI Pharmacist · Box Elder, MT
NPI 1104549013 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1104549013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PHA-PHA-LIC-88450 (MT)
- Practice address
- 6850 Upper Box Elder Rd
Box Elder, MT 59521-9073 - Phone
- (406) 395-4486
- NPI assigned
- Sep 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10080 | ID | MD | Pharmacist |
| PHA-PHA-LIC-88450 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10080 | ID | |
| Pharmacist | 183500000X | PHA-PHA-LIC-88450 | MT | Yes |
Addresses
Primary practice location
6850 Upper Box Elder Rd
Box Elder, MT 59521-9073
Mailing address
625 11TH St W
Havre, MT 59501-4821
Phone (385) 439-2853
Other providers in Box Elder, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.