Individual
CAROLYN MARIE COUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 E MAIN ST, ROLLA, ND 58367
(701) 477-3174
Mailing address
PO BOX 31, DUNSEITH, ND 58329-0031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4801
ND
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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