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Individual

MRS. BEVERLY J CLAIRMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
1102 CENTRAL AVENUE, WALHALLA, ND 58282-0428
(701) 549-2661
(701) 549-2664
Mailing address
705 EMMERLING, PO BOX 428, WALHALLA, ND 58282-0428
(701) 549-2661
(701) 549-2664

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4424
ND
183500000X
Pharmacist
PH00010340
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4424
PHARMACIST LISCENCE NUMBE
ND
Enumeration date
09/07/2006
Last updated
07/08/2007
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