Individual
KADEE COLLEEN GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
503 PARK ST W, PARK RIVER, ND 58270-4137
(701) 284-7676
Mailing address
PO BOX 111, HOOPLE, ND 58243-0111
(701) 331-9243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6379
ND
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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