Individual
MICHAEL RALPH CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
30 MAIN RD W, HAZEN, ND 58545
(701) 748-2312
(701) 748-2637
Mailing address
612 4TH ST NE, HAZEN, ND 58545-4605
(701) 748-6281
(701) 748-2637
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
3470
ND
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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