Individual
COLTON IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
317 7TH ST NW, CASS LAKE, MN 56633-3359
(218) 335-3293
Mailing address
707 38TH ST NW, BEMIDJI, MN 56601-2271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125285
MN
183500000X
Pharmacist
RPH6330
ND
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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