Individual
KELSY MARTINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
330 MAIN ST S, FORMAN, ND 58032-4001
(701) 724-6222
Mailing address
PO BOX 264, MILNOR, ND 58060-0264
(701) 680-8739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6048
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH6048
NORTH DAKOTA BOARD OF PHARMACY
ND
Enumeration date
07/16/2018
Last updated
07/16/2018
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