Individual
MR. KELLY JARON HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD RPH
Contact information
Practice address
420 CENTER AVENUE, MOORHEAD DRUG COMPANY, MOORHEAD, MN 56560
(218) 233-1529
(218) 233-8917
Mailing address
1518 DORCHESTER CT, WEST FARGO, ND 58078
(701) 799-3354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117693
MN
183500000X
Pharmacist
4713
ND
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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