Individual
LISA BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3336 ADAMS ST S, FARGO, ND 58104-6931
(701) 281-6143
Mailing address
3336 ADAMS ST S, FARGO, ND 58104-6931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
517626-INT-48523
ND
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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