Individual
PAULA L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
387 11TH ST S, WAHPETON, ND 58075-4653
(701) 642-2336
(701) 642-1470
Mailing address
7746 MARIE ST, WAHPETON, ND 58075-9628
(701) 640-2745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4400
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091062700
—
MN
05
—
21128
—
ND
05
—
9167120
—
SD
Enumeration date
05/28/2006
Last updated
11/02/2023
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