Individual
DR. DOUGLAS WILLIAM GUGEL-BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103
(701) 234-2000
Mailing address
3480 38TH AVE S APT 301, FARGO, ND 58104-7843
(740) 243-5287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03237125
OH
1835P2201X
Ambulatory Care Pharmacist
RPH6061
ND
Other
Enumeration date
03/01/2018
Last updated
07/31/2018
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