Individual
MRS. MARY J FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
87 19TH AVE N, FARGO, ND 58102-2350
(701) 235-3599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4159
ND
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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