Individual
MIGUEL BUISAN CATEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
301 NP AVE N, FARGO, ND 58102-4835
(701) 239-7135
Mailing address
3642 15TH ST S, MOORHEAD, MN 56560-6956
(218) 329-3729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5101
ND
Other
Enumeration date
03/16/2007
Last updated
11/02/2012
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