Individual
JORDAN COLE ANDRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2522 BROADWAY N, FARGO, ND 58102-1405
(701) 235-5543
Mailing address
2522 BROADWAY N, FARGO, ND 58102-1405
(701) 235-5543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6422
ND
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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