Individual
SALLY A SORAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1395 COLUMBIA RD S, MEDICAP PHARMACY, GRAND FORKS, ND 58201
(701) 746-1800
(701) 746-4040
Mailing address
309 N 49TH ST, GRAND FORKS, ND 58203
(701) 772-5302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3435
ND
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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