Individual
MIKHAIL ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1613 36 1/2 AVE S, FARGO, ND 58104-6101
(701) 261-7536
Mailing address
1613 36 1/2 AVE S, FARGO, ND 58104-6101
(701) 261-7536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122936
MN
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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