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Individual

KASEY MCCANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2425 13TH AVE S, FARGO, ND 58103-3749
(701) 232-4872
Mailing address
6906 81ST AVE S, HORACE, ND 58047-9799
(952) 300-7847

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
122120
MN
183500000X
Pharmacist
14619
NE
183500000X
Pharmacist
Primary
RPH5846
ND

Other

Enumeration date
05/13/2016
Last updated
04/29/2020
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