Individual
AMY M GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
505 MAIN ST, BOTTINEAU, ND 58318-1202
(701) 228-2291
(701) 228-6985
Mailing address
321 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4779
ND
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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