Individual
MITCHELL JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1520 20TH AVE SW, MINOT, ND 58701-6456
(701) 852-4068
Mailing address
2766 41ST ST S APT 206, FARGO, ND 58104-9094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6155
ND
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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