Provider Demographics
NPI:1528765401
Name:DOTY, MARGARET HELEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:HELEN
Last Name:DOTY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:HELEN
Other - Last Name:TYREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3097 RONDOS WAY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MT
Mailing Address - Zip Code:59825-9138
Mailing Address - Country:US
Mailing Address - Phone:775-621-8114
Mailing Address - Fax:
Practice Address - Street 1:1902 BROOKS ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6644
Practice Address - Country:US
Practice Address - Phone:406-728-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-88610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist