Individual
MRS. SUSANNE M MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-3330
(701) 234-3334
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-3330
(701) 234-3334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4466
ND
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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