Jeffrey Lynn Theige R.PH.

NPI 1063718773 - Pharmacist - 183500000X

NPI Details
NPI 1063718773
Gender Male
Enumeration Date 01/28/2011
Last Updated 01/28/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1395 S COLUMBIA RD STE C
GRAND FORKS ND, 58201-4054, US
Phone (701) 746-1800
Fax (701) 746-4040
Business Location
1395 S COLUMBIA RD STE C
GRAND FORKS ND, 58201-4054, US
Phone (701) 746-1800
Fax (701) 746-4040
Toxanomy
Taxonomy Code 183500000X
License State Minnesota
License Number 113894
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According to our database, Mr. Jeffrey Lynn Theige R.PH. NPI is 1063718773, taxonomy code is 183500000X and license number is 113894, license state is located at Minnesota. Jeffrey Lynn Theige R.PH. physically located at 1395 S Columbia Rd Ste C, Grand Forks ND, 58201-4054. NPI Number Jeffrey Lynn Theige R.PH. has the Individual type.

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1063718773 NPI number is provided on an as is basis without warranty of any kind. 1063718773 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Lynn Theige R.PH. are for informational purposes only.