Individual
MR. LANCE J. BELOHLAVEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1659 TIMBERHAVEN DR S, MANDAN, ND 58554-8703
(701) 425-2497
Mailing address
1659 TIMBERHAVEN DR S, MANDAN, ND 58554-8703
(701) 425-2497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
119165
MN
183500000X
Pharmacist
17405
CO
183500000X
Pharmacist
3137
WY
183500000X
Pharmacist
Primary
5108
ND
183500000X
Pharmacist
5501
SD
183500000X
Pharmacist
6234
MT
Other
Enumeration date
12/22/2007
Last updated
07/14/2009
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