Individual
KELSEY MAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 N RIVER ROAD, FORT YATES, ND 58538
(701) 854-8340
Mailing address
10 N RIVER ROAD, FORT YATES, ND 58538
(701) 854-8340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5908
ND
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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