Individual
MISS TAVIAH THERESE LOTHSPEICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1401 33RD ST SW, FARGO, ND 58103-3413
(701) 235-5511
(701) 235-1985
Mailing address
1401 33RD ST SW, FARGO, ND 58103-3413
(701) 235-5511
(701) 235-1985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
120521
MN
183500000X
Pharmacist
Primary
5507
ND
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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