Individual
MR. SPENCER E CLAIRMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH. ,FELLOW, ASCP
Contact information
Practice address
1102 CENTRAL AVENUE, WALHALLA, ND 58282-0428
(701) 549-2661
(701) 549-2664
Mailing address
1102 CENTRAL AVENUE, PO BOX 428, WALHALLA, ND 58282-0428
(701) 549-2661
(701) 549-2664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3440
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3440
PHARMACIST LISCENCE NUMBE
ND
Enumeration date
09/07/2006
Last updated
07/08/2007
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