Individual
BROOKE MELICHER HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58201
(701) 780-5089
Mailing address
PO BOX 6002, GRAND FORKS, ND 58201-6002
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5370
ND
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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