Individual
JULIE M BUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8140
(701) 364-8157
Mailing address
8008 SAGITTARIUS CIR, FARGO, ND 58104-7907
(701) 298-0941
(701) 364-8157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
ND 4427
ND
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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