| NPI | 1962160937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LOVAT Owner Provider 701-213-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-01-21 |