Individual
JENNIFER WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 20TH AVE SW, MINOT, ND 58701-6456
(701) 852-4068
Mailing address
1520 20TH AVE SW, MINOT, ND 58701-6456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5811
ND
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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