Individual
MR. SHANE MICHAEL DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2265 3RD AVE W, DICKINSON, ND 58601-2605
(701) 225-4421
(701) 225-7934
Mailing address
2265 3RD AVE W, DICKINSON, ND 58601-2605
(701) 225-4421
(701) 225-7934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6619
ND
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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