Individual
TOMOMI FUNAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1300 HOSPITAL LOOP, QNBMHF, BELCOURT, ND 58316
(701) 477-8426
Mailing address
PO BOX 160, BELCOURT, ND 58316-0160
(701) 477-8426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3419
NH
Other
Enumeration date
04/06/2007
Last updated
10/29/2015
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