Individual
LUCAS BRADLEY GLARUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
619 DAKOTA AVE, WAHPETON, ND 58075-4325
(701) 642-6223
(701) 642-8839
Mailing address
619 DAKOTA AVE, WAHPETON, ND 58075-4325
(701) 642-6223
(701) 642-8839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
119968
MN
183500000X
Pharmacist
Primary
5254
ND
Other
Enumeration date
10/14/2010
Last updated
03/13/2024
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