Provider Demographics
NPI:1861264319
Name:MCFADDEN, BOBBIE JO (PHARMD)
Entity type:Individual
Prefix:
First Name:BOBBIE
Middle Name:JO
Last Name:MCFADDEN
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 1:7119 WHITETAIL LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-6276
Mailing Address - Country:US
Mailing Address - Phone:406-698-0820
Mailing Address - Fax:
Practice Address - Street 1:2900 12TH AVE N STE 503E
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7502
Practice Address - Country:US
Practice Address - Phone:406-237-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-46131835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist