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NPI Code Detail

MEDICARE: DR. AMBER LYNN CLEGG PHARM D.

MEDICARE:  DR. AMBER LYNN CLEGG  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist6137MT
2183500000XPharmacistPH60223643WA

General Provider Information

NPI Number : 1073882817
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMBER LYNN CLEGG PHARM D.
Provider Business Mailing Address
First Line : 195 3RD AVENUE EAST N
Second Line :
City : KALISPELL
State : MT
Zip : 59901-4109
Country : US
Telephone Number : 406-257-1397
Fax Number : 406-257-5978
Provider Business Practice Location Address
First Line : 195 3RD AVENUE EAST N
Second Line :
City : KALISPELL
State : MT
Zip : 59901-4109
Country : US
Telephone Number : 406-257-1397
Fax Number : 406-257-5978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2011
Last Update Date : 05/15/2026

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Directions to “ DR. AMBER LYNN CLEGG PHARM D.” Practice Location

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