Individual
MARY J QUALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4510 13TH AVE SW, FARGO, ND 58121-1000
(701) 282-1440
Mailing address
813 S DRIVE, FARGO, ND 58103-4933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3812
ND
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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