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Contact Information

JUSTIN GRUENEICH
4255 30TH AVE S
FARGO, ND58104-8427
 Phone: 701-478-8122
 Fax: 701-478-8127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JUSTIN GRUENEICH · (Male)

NPI Number 1073951950
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2013
Last updated 06/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 119577
  • ND License # RPH5639
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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