Mary Lillian Hansen, RPH
Individual provider Active NPI Pharmacist · Billings, MT
NPI 1225478043 · NPPES record last updated Jun 25, 2013
Key facts
- NPI
- 1225478043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2641 (MT)
- Practice address
- 2402 Grand Ave
Billings, MT 59102-2623 - Phone
- (406) 252-6334
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2641 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana CVS Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2641 | MT | Yes |
Addresses
Primary practice location
2402 Grand Ave
Billings, MT 59102-2623
Mailing address
3104 54TH St W
Billings, MT 59106-1237
Phone (406) 652-6264
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2013. 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.