Individual
MARY LEE CLARENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
MERITCARE HEALTHCARE SYSTEMS PHARMACY, 801 BROADWAY NORTH, FARGO, ND 58122-0001
(701) 234-5601
Mailing address
3132 9 1/2 ST N, FARGO, ND 58102-1300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4332
ND
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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