Individual
MICHAEL JAMES DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
323 5TH ST NE, SUITE # 2, DEVILS LAKE, ND 58301-2476
(701) 662-3022
(701) 662-2042
Mailing address
323 5TH ST NE, SUITE # 2 PO BOX 772, DEVILS LAKE, ND 58301-2476
(701) 662-3022
(701) 662-2042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5504
ND
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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