Individual
MR. KEVIN CARL GRINDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
712 38TH ST NW, SUITE A, FARGO, ND 58102-2955
(701) 893-9217
Mailing address
712 38TH ST NW, SUITE A, FARGO, ND 58102-2955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH4173
ND
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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