Individual
JESSE LEE BREIDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
900 E BROADWAY AVE, HOME INFUSION, BISMARCK, ND 58501-4520
(701) 530-6890
(701) 530-6891
Mailing address
900 E BROADWAY AVE, HOME INFUSION, BISMARCK, ND 58501-4520
(701) 530-6890
(701) 530-6891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4784
ND
1835N1003X
Nutrition Support Pharmacist
4784
ND
1835P1200X
Pharmacotherapy Pharmacist
4784
ND
Other
Enumeration date
06/21/2006
Last updated
07/13/2026
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