Individual
TERRY EUGENE DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
107 S MAIN ST, STANLEY, ND 58784-4003
(701) 628-2255
(701) 628-2396
Mailing address
107 S MAIN ST, STANLEY, ND 58784-4003
(701) 628-2255
(701) 628-2396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
115006
MN
183500000X
Pharmacist
Primary
4394
ND
Other
Enumeration date
10/23/2008
Last updated
12/05/2012
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