Provider Demographics
NPI:1285392019
Name:CALLIHAN, MICHELLE (RPH)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CALLIHAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:KEPLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:614 TRAILVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-9031
Mailing Address - Country:US
Mailing Address - Phone:513-382-4020
Mailing Address - Fax:
Practice Address - Street 1:2150 US HIGHWAY 93 S
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-5793
Practice Address - Country:US
Practice Address - Phone:406-755-5099
Practice Address - Fax:406-756-3725
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03217794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist