Provider Demographics
NPI:1487330262
Name:MCCLENDON, SYDNIE (PHARMD)
Entity type:Individual
Prefix:
First Name:SYDNIE
Middle Name:
Last Name:MCCLENDON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SYDNIE
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2438 INTERLACHEN DR.
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105
Mailing Address - Country:US
Mailing Address - Phone:417-658-8249
Mailing Address - Fax:
Practice Address - Street 1:2438 INTERLACHEN DR.
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105
Practice Address - Country:US
Practice Address - Phone:417-658-8249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT91906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No183500000XPharmacy Service ProvidersPharmacist