Individual
MR. MATTHEW JAY PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
415 MAIN ST, CARRINGTON, ND 58421-1671
(701) 652-2521
(701) 652-2326
Mailing address
415 MAIN ST, CARRINGTON, ND 58421-1671
(701) 652-2521
(701) 652-2326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10915
NV
183500000X
Pharmacist
Primary
4567
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10915
NEVADA BOARD OF PHARMACY
NV
01
—
4567
ND BOARD OF PHARMACY
ND
Enumeration date
07/12/2006
Last updated
09/27/2008
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