Individual
MRS. STEPHANIE MARIE PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
737 BROADWAY N, FARGO, ND 58122-0001
(701) 234-2320
(701) 234-2433
Mailing address
1437 5TH ST N, FARGO, ND 58102-2734
(701) 371-6774
(701) 234-2433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4924
ND
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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