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Contact Information

SUSAN M CARLSON, RPH
MERITCARE BROADWAY PHARMACY
737 BROADWAY
FARGO, ND58102
 Phone: 701-234-2348
 Fax: 701-234-2433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SUSAN M CARLSON · (Female)

NPI Number 1760671168
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 10/22/2007
Last updated 10/22/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 3544
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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