Individual
ANNA MCKAY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4000 28TH AVENUE S, MOORHEAD, MN 56560
(701) 234-3200
Mailing address
4000 28TH AVENUE S, MOORHEAD, MN 56560
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
124262
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124262
MN BOP
MN
01
—
6159
ND BOP
ND
Enumeration date
08/01/2019
Last updated
08/01/2019
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