Individual
STEVE DUANE BOEHNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3175 25TH ST S, FARGO, ND 58103-6171
(701) 293-6022
(701) 293-6040
Mailing address
4223 58TH ST S, FARGO, ND 58104-4215
(701) 541-5702
(701) 293-6022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
115942-6
MN
183500000X
Pharmacist
Primary
4451
ND
183500000X
Pharmacist
4696
SD
Other
Enumeration date
10/23/2006
Last updated
02/14/2017
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