Individual
AMY LU SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
3883 74TH AVE NE, FT.TOTTEN, ND 58335
(701) 766-1612
Mailing address
PO BOX 251, MADDOCK, ND 58348-0251
(701) 438-2221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5082
ND
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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