Individual
JONATHAN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316
(701) 477-8426
(701) 477-2524
Mailing address
PO BOX 160, 1300 HOSPITAL LOOP, BELCOURT, ND 58316
(701) 477-8426
(701) 477-2524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211413
VA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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