Tessa Hultgren
Individual provider Active NPI Pharmacist · Huntley, MT
NPI 1881477909 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1881477909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PHA-PHA-LIC-89101 (MT)
- Practice address
- 355 W E Rd
Huntley, MT 59037-9107 - Phone
- (406) 208-8468
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA-PHA-LIC-89101 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA-PHA-LIC-89101 | MT | Yes |
Addresses
Primary practice location
355 W E Rd
Huntley, MT 59037-9107
Mailing address
355 W E Rd
Huntley, MT 59037-9107
Phone (406) 208-8468
Other providers in Huntley, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.