Individual
AWNA MARIE MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2265 3RD AVE W, DICKINSON, ND 58601-2605
(701) 225-4421
Mailing address
2265 3RD AVE W, DICKINSON, ND 58601-2605
(701) 225-4421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6328
ND
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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