Individual
MR. LANCE WADE MOHL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
400 BURDICK EXPY E, KEYCARE PHARMACY, MINOT, ND 58701-4768
(701) 857-7900
(701) 857-7834
Mailing address
909 25 1/2 AVE NW, MINOT, ND 58703-0781
(701) 839-9353
(701) 839-5529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3796
ND
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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