Individual
REBECCA LYNN KOLLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
3121 24TH ST S, MOORHEAD, MN 56560-5407
(701) 212-3397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118844
MN
183500000X
Pharmacist
RPH5122
ND
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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