DALE R WHITEHEAD

MOORHEAD, MN
NPI1396877221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MN  113896)
Additional Taxonomies183500000X Pharmacist
(Licence: ND  3764)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Mr. DALE R WHITEHEAD
420 CENTER AVE MOORHEAD DRUG CO
MOORHEAD, MN 56560
Phone number: 218-233-1529
Mailing Address
Mr. DALE R WHITEHEAD
1910 6TH ST S
MOORHEAD, MN 56560
Phone number: 218-233-6485
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