Individual
DEREK PLADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 30TH AVE S, MOORHEAD, MN 56560-4926
(218) 331-2668
Mailing address
700 30TH AVE S, MOORHEAD, MN 56560-4926
(218) 331-2668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125213
MN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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