Tellock, Daniel Allen

Tellock, Daniel Allen is an individual health care provider with primary practice located at 24760 Hospital Rd , Red Lake MN 56671. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tellock, Daniel Allen can be contacted via phone (218) 679-3912.

Contact Information

Primary practice address
24760 Hospital Rd Red Lake MN 56671
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 126507 Minnesota

Profile Details

NPI number 1962233635
LBN Legal business name Tellock, Daniel Allen
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2024
Last updated Aug 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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