Steve Knoop, RPH

Individual provider Active NPI Pharmacist · Glendive, MT

NPI 1275870909 · NPPES record last updated Mar 13, 2016

Key facts

NPI
1275870909
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
MT3026 (MT)
Practice address
307 Harmon St
Glendive, MT 59330-1510
Phone
(406) 365-5200
Fax
(406) 365-7067
NPI assigned
Jan 15, 2013
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
MT3026MTMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X MT3026 MT Yes

Addresses

Primary practice location

307 Harmon St
Glendive, MT 59330-1510

Mailing address

307 Harmon St
Glendive, MT 59330-1510
Phone (406) 365-5200

Other identifiers

IdentifierTypeStateIssuer
MT3026OtherMTMONTANA STATE PHARMACY

Other providers in Glendive, MT

All providers in Glendive, MT · Pharmacist in Montana

Sources for this page

Verify at the official NPI Registry.