Individual
MR. JERRY GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5749
ND
Other
Enumeration date
12/31/2013
Last updated
04/30/2015
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