Individual
DR. JEREMY WAYNE GRINDELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6611
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
121881
MN
183500000X
Pharmacist
Primary
RPH5682
ND
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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