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Individual

MRS. EMILY ROSE BOGENREIF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3175 25TH ST S, FARGO, ND 58103-6171
(701) 293-6022
(701) 293-6040
Mailing address
2935 40TH AVE S, UNIT D, FARGO, ND 58104-6692
(701) 388-1257
(701) 293-6040

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5594
ND

Other

Enumeration date
07/10/2013
Last updated
07/10/2013
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