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Individual

BRANDON M HALLQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58201
(701) 780-5150
Mailing address
PO BOX 6002, GRAND FORKS, ND 58201-6002
(701) 780-5000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5599
ND

Other

Enumeration date
01/05/2015
Last updated
01/05/2015
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