Individual
TACI BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
200 PAUL BUNYAN DR S, BEMIDJI, MN 56601-3241
(218) 751-8063
(218) 751-8064
Mailing address
200 PAUL BUNYAN DR S, BEMIDJI, MN 56601-3241
(218) 751-8063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117426
MN
Other
Enumeration date
11/27/2010
Last updated
11/27/2010
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