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Individual

KYLE THOMAS DEMONTIGNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD RPH

Contact information

Practice address
WHITE DRUG #50, 107 E 2ND ST, RUGBY, ND 58368
(701) 776-5741
(701) 776-7600
Mailing address
7091 25TH AVE NE, RUGBY, ND 58368-8475
(701) 776-7743
(701) 776-7600

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4791
ND

Other

Enumeration date
04/27/2007
Last updated
07/08/2007
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