Timothy Polacheck

NPI #1932623923 in Laurel, Montana

Provider Information

NPI Number: 1932623923
Entity Type: Individual
Name: Timothy Polacheck
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 1, 2017
Last Updated: Aug 1, 2017

Practice Location

Address: 101 BERNHARDT RD
City: Laurel
State: Montana
ZIP Code: 59044
Phone: (406) 628-1762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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