Individual
ALEXIS KOKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2620 41ST ST S APT 313, FARGO, ND 58104-9161
(320) 460-0332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6217
ND
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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