NPI 1023427499

Kristin Bloom

Practitioner Pharmacist Fargo, ND

Practice location

Address: 1401 33rd St S, Fargo, ND 58103-3413
Phone: (701) 235-5511
Fax: (701) 235-1985
Mailing address: 4262 Auburn Ave, Fargo, ND 58104-8428

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH5702 (ND)

Other Pharmacist providers in North Dakota →

Registry record

NPI: 1023427499
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2014
Record last updated: 10 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.