Individual
BAILEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 26TH ST E, WILLISTON, ND 58801-3046
(701) 572-4181
(701) 572-0921
Mailing address
13482 79TH ST NW, ALAMO, ND 58830-9569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6494
ND
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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