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Individual

MR. KIM L ESSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
21 N. MAIN ST., GARRISON, ND 58540
(701) 463-2242
(701) 463-2311
Mailing address
PO BOX 1206, GARRISON, ND 58540-1206
(701) 463-2575
(701) 463-2311

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28456
TX
183500000X
Pharmacist
Primary
4191
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28456
STATE PHARMACY LICENSE #
TX
01
4191
STATE PHARMACY LICENSE #
ND
Enumeration date
12/26/2006
Last updated
07/08/2007
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