Individual
HANNAH STEPHANIE FUNDAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
224 14TH ST NE, EAST GRAND FORKS, MN 56721-1628
(218) 773-0611
Mailing address
224 14TH ST NE, EAST GRAND FORKS, MN 56721-1628
(218) 773-0611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122394
MN
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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