Individual
MS. LISA K BRENNAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R PH
Contact information
Practice address
431 W VILLARD, THE MEDICINE SHOPPE, DICKINSON, ND 58601
(701) 227-8265
(701) 227-8789
Mailing address
11540 34TH ST SW, DICKINSON, ND 58601-9744
(701) 225-0557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4461
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20834
—
ND
Enumeration date
11/23/2005
Last updated
07/08/2007
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