IndividualActive
Jeannette Mickelson, PHARM D
NPI 1073953998 · Pharmacist · Laurel, MT
Provider details
- NPI number
- 1073953998
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4600 (MT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
307 Se 4th St
Laurel, MT 59044-3324
Phone: (406) 628-8746
Approximate (ZIP-level) locationGet directions
Mailing address
3055 Grizzly Trl
Laurel, MT 59044-9476
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2013-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.