Individual
COLLEEN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1202 RUSSET, GRAND FORKS, ND 58201-3713
(701) 741-5590
Mailing address
1202 RUSSET, GRAND FORKS, ND 58201-3713
(701) 741-5590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
114616
MN
183500000X
Pharmacist
Primary
4155
ND
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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