Individual
THOMAS L. ULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 MAIN ST, ELLENDALE, ND 58436-0780
(701) 349-3390
Mailing address
PO BOX 780, ELLENDALE, ND 58436-0780
(701) 349-3390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3211
ND
3336C0003X
Community/Retail Pharmacy
17
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20043
—
ND
Enumeration date
07/25/2006
Last updated
01/18/2011
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