Individual
MR. JEFFREY LYNN THEIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1395 S COLUMBIA RD STE C, GRAND FORKS, ND 58201-4054
(701) 746-1800
(701) 746-4040
Mailing address
1395 S COLUMBIA RD STE C, GRAND FORKS, ND 58201-4054
(701) 746-1800
(701) 746-4040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
113894
MN
183500000X
Pharmacist
Primary
3678
ND
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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