Individual
MRS. LISA MARIE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1140 E BISMARCK EXPY, BISMARCK, ND 58504-6603
(701) 255-7220
(701) 255-6029
Mailing address
1140 E BISMARCK EXPY, BISMARCK, ND 58504-6603
(701) 255-7220
(701) 255-6029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4286
ND
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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