Individual
TAYLOR DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316-7712
(701) 477-6111
Mailing address
PO BOX 452, BELCOURT, ND 58316-0452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029049A
IN
Other
Enumeration date
10/26/2020
Last updated
01/10/2023
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