Individual
GERILYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1321 19TH AVE N, FARGO, ND 58102-1821
(701) 232-2720
Mailing address
1616 9TH ST S, FARGO, ND 58103-4119
(701) 306-8140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4403
ND
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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