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Individual

MR. JOHN R SLAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
5415 11TH ST S, FARGO, ND 58104-6451
(701) 866-4757
Mailing address
5415 11TH ST S, FARGO, ND 58104-6451
(701) 866-4757
(701) 373-0686

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3561
ND

Other

Enumeration date
01/29/2008
Last updated
01/29/2008
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