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Contact Information

ELISE R CARLSON, PHARM.D.
720 4TH ST N
ROUTE 204
FARGO, ND58122-0204
 Phone: 701-234-5606
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for ELISE R CARLSON · (Female)

NPI # 1336360494
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 05/02/2007
Last updated 11/12/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 119194
  • ND License # 5080
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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