Cindy Nadine Mikes, PHARM.D.

Individual provider Active NPI Ambulatory Care Pharmacist · Missoula, MT

NPI 1982152963 · NPPES record last updated Oct 1, 2019

Key facts

NPI
1982152963
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Pharmacist 1835P2201X
License
PHA-PHA-LIC-3994 (MT)
Practice address
500 W Broadway St
Missoula, MT 59802-4008
Phone
(406) 327-1650
Fax
(406) 327-1651
NPI assigned
Sep 19, 2016
Sex
Female
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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PHA-PHA-LIC-3994MTMDAmbulatory Care Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X PHA-PHA-LIC-3994 MT Yes

Addresses

Primary practice location

500 W Broadway St
Missoula, MT 59802-4008

Mailing address

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 327-1650

Other providers in Missoula, MT

All providers in Missoula, MT · Ambulatory Care Pharmacist in Montana

Sources for this page

Verify at the official NPI Registry.