Individual
PATRICIA WELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 MAIN ST, LISBON, ND 58054-4143
(701) 683-5282
Mailing address
PO BOX 706, LISBON, ND 58054-0706
(701) 683-0124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4176
ND
Other
Enumeration date
05/03/2015
Last updated
05/03/2015
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