Provider Demographics
NPI:1699553289
Name:MURRISH, TRACEY (PHARMD)
Entity type:Individual
Prefix:
First Name:TRACEY
Middle Name:
Last Name:MURRISH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 CRYSTAL DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-1705
Mailing Address - Country:US
Mailing Address - Phone:406-214-2531
Mailing Address - Fax:
Practice Address - Street 1:1015 BROADWATER AVE STE 101
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-5462
Practice Address - Country:US
Practice Address - Phone:406-657-4545
Practice Address - Fax:406-435-6393
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist