Individual
PATRICIA MOTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
224 14TH ST NE, EAST GRAND FORKS, MN 56721-1628
(218) 773-0611
(218) 773-3532
Mailing address
224 14TH ST NE, EAST GRAND FORKS, MN 56721-1628
(218) 773-0611
(218) 773-3532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5673
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125552
MN BOP LICENSE
MN
01
—
18
PHARMACIST, ND RPH5673
ND
Enumeration date
02/03/2017
Last updated
08/02/2024
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