Individual
ELYSSA JUSTINE BREDESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8370
Mailing address
3000 32ND AVE S, FARGO, ND 58103-6132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6712
ND
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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