Individual
DANIEL GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2345
Mailing address
5225 23RD AVE S, RT 4484, FARGO, ND 58104-7927
(701) 417-2345
Taxonomy
Speciality
Code
Description
License number
State
1835C0206X
Cardiology Pharmacist
Primary
RPH4884
ND
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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