Individual
BRANDON BOTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH6053
ND
Other
Enumeration date
07/13/2018
Last updated
12/15/2025
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