MEDICARE: DR. CHRISTOPHER CLARMONT PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302040077	MI

General Provider Information

NPI Number	:	1255733317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER CLARMONT PHARM.D.

Provider Business Mailing Address
First Line	:	12775 AIRPORT RD
Second Line	:
City	:	CHEBOYGAN
State	:	MI
Zip	:	49721-9382
Country	:	US
Telephone Number	:	231-445-2920
Fax Number	:

Provider Business Practice Location Address
First Line	:	3944 S STRAITS HWY
Second Line	:
City	:	INDIAN RIVER
State	:	MI
Zip	:	49749-5135
Country	:	US
Telephone Number	:	231-238-2499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2014
Last Update Date	:	12/11/2018

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