Individual
MRS. LISA BETH HUSTAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6186
(701) 323-6988
Mailing address
934 BRETON DR, BISMARCK, ND 58503-5502
(701) 255-0599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4989
ND
1835N1003X
Nutrition Support Pharmacist
4989
ND
1835P1200X
Pharmacotherapy Pharmacist
4989
ND
1835P1300X
Psychiatric Pharmacist
Primary
4989
ND
Other
Enumeration date
06/12/2006
Last updated
09/11/2025
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