Individual
DR. CLINT TJELMELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-8350
Mailing address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-8350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
102941
AK
183500000X
Pharmacist
Primary
PHA-PHA-LIC-34568
MT
Other
Enumeration date
08/19/2015
Last updated
12/29/2015
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