Individual
KENTON THOMAS OMVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-6923
(701) 530-6940
Mailing address
1344 S 3RD ST, BISMARCK, ND 58504-6529
(701) 222-1055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4351
ND
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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