Provider Demographics
NPI:1992490676
Name:REINHARDT, MICHELLE BLAIR (PHARMD, BCPP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:BLAIR
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LYNN
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCPP
Mailing Address - Street 1:96 N WEAVER ST
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-7005
Mailing Address - Country:US
Mailing Address - Phone:406-219-7233
Mailing Address - Fax:
Practice Address - Street 1:4061 SNOWBERRY AVE
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3740
Practice Address - Country:US
Practice Address - Phone:775-815-9857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-122491835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric