Individual
WAYNE H MARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1 MINNI TOHE DR, NEW TOWN, ND 58763-4400
(701) 627-4701
Mailing address
8548 47TH ST NW # MW, NEW TOWN, ND 58763-9106
(701) 629-0223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4856
ND
183500000X
Pharmacist
Primary
5302040996
MI
Other
Enumeration date
04/30/2008
Last updated
12/08/2020
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