Individual
JOHN WILLIAM PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1058 COLLEGE DR, NEW TOWN, ND 58763
(701) 627-7623
(701) 627-2815
Mailing address
1058 COLLEGE DR, NEW TOWN, ND 58763-9112
(701) 627-7623
(701) 627-2815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5914
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH5914
PHARMACIST LICENSE
ND
Enumeration date
09/26/2017
Last updated
07/21/2022
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