Individual
KENNETH HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
525 S 3RD ST, BISMARCK, ND 58504-5524
(701) 255-1335
Mailing address
525 S 3RD ST, BISMARCK, ND 58504-5524
(701) 255-1335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6263
ND
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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