Individual
TAYLOR MARIE KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
503 PARK ST W, PARK RIVER, ND 58270-4137
(701) 284-7676
Mailing address
131 PARK AVE S, PARK RIVER, ND 58270-4140
(605) 360-8408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6790
SD
183500000X
Pharmacist
Primary
RPH6240
ND
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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