Individual
DR. DUSTY AMOS SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5550
Mailing address
124 CORAL CT, MINOT AFB, ND 58704-1318
(330) 301-0988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5105
ND
183500000X
Pharmacist
RPH.03127436-1
OH
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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