Individual
WYATT ELDON MARTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
147 W MAIN ST, BEULAH, ND 58523-6969
(701) 873-5215
(701) 873-4908
Mailing address
1848 MURRAY DR, BEULAH, ND 58523-7012
(701) 361-9689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5978
ND
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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