Individual
SUSAN K HALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 N 4TH ST, HETTINGER, ND 58639-0808
(701) 567-2292
Mailing address
PO BOX 808, 603 N 4TH ST, HETTINGER, ND 58639-0808
(701) 567-2292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2998
ND
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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