Individual
KEVIN PAVLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1950 32ND AVE S, GRAND FORKS, ND 58201-6656
(701) 746-8643
Mailing address
1950 32ND AVE S, GRAND FORKS, ND 58201-6656
(701) 746-8643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5877
ND
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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