Individual
KARLEY J LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
331 4TH AVE E, TRENTON, ND 58853-9998
(701) 572-6201
Mailing address
244 N MAIN ST, WATFORD CITY, ND 58854-7122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6340
ND
Other
Enumeration date
08/11/2021
Last updated
01/03/2022
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