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>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1952521023

Individual Registrant:
Gender: M
Not Sole Proprietor

Location and contact information for practice:
Tel: 701-857-5550  Fax: 701-857-5155

Contact information for business:
900 15 1-2 AVE SE  MINOT, ND 58701-5900 US
Tel: 701-838-5932  Fax: --

Registration Information:
NPI: 1952521023
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers

Legacy codes, insurance codes and state license numbers:



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