Organization
MS4 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANELL HAGEN (OWNER/PHARMACIST)
(701) 293-0221
Entity
Organization
Contact information
Practice address
503 14TH ST S, BENSON, MN 56215-1761
(701) 639-6969
Mailing address
4476 31ST AVE S STE 105, FARGO, ND 58104-4532
(701) 639-6969
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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