Individual
MS. MICHELLE LYNN TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3626 BROOKS STREET, KMART PHARMACY, MISSOULA, MT 59801
(406) 251-0497
(406) 251-0240
Mailing address
3626 BROOKS STREET, KMART PHARMACY, MISSOULA, MT 59801
(406) 251-0497
(406) 251-0240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
001012
AZ
183500000X
Pharmacist
Primary
3668
MT
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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