Individual
MADISON CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 9TH AVE S, FARGO, ND 58103-2101
(701) 551-2446
Mailing address
7378 29TH ST S, FARGO, ND 58104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6498
ND
Other
Enumeration date
01/11/2024
Last updated
12/04/2024
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