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Individual

MRS. ALEXIS DAWN WALDOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
121 N BROADWAY ST, LINTON, ND 58552-7018
(701) 254-5432
(701) 254-4876
Mailing address
121 N BROADWAY ST, P.O BOX 760, LINTON, ND 58552-7018
(701) 254-5432
(701) 254-4876

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5403
ND

Other

Enumeration date
06/12/2013
Last updated
06/12/2013
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