Individual
NICOLE BEREND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4476 31ST AVE S STE 105, FARGO, ND 58104-4532
(701) 639-6969
Mailing address
4476 31ST AVE S STE 105, FARGO, ND 58104-4532
(701) 639-6969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6130
ND
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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