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1760671168
SUSAN MARY CARLSON
FARGO, ND
NPI
1760671168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ND 3544)
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
-- SUSAN MARY CARLSON RPh
MERITCARE BROADWAY PHARMACY 737 BROADWAY
FARGO, ND 58102
Phone number: 701-234-2348
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Mailing Address
-- SUSAN MARY CARLSON RPh
MERITCARE BROADWAY PHARMACY 737 BROADWAY
FARGO, ND 58122-0013
Phone number: 701-234-2348
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