Individual
JENNA M WAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
244 N MAIN ST, WATFORD CITY, ND 58854-7124
(701) 444-2410
(701) 444-2921
Mailing address
244 N MAIN ST, PO BOX 550, WATFORD CITY, ND 58854-7124
(701) 444-2410
(701) 444-2921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5577
ND
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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