NPI 1043780828

Yesul Song

Practitioner Pharmacist Williston, ND

Practice location

Address: 1301 15th Ave W, Williston, ND 58801-3821
Phone: (701) 774-7400
Mailing address: 3103 3rd Ave E #208, Williston, ND 58801

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH6090 (ND)

Other Pharmacist providers in North Dakota →

Registry record

NPI: 1043780828
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2018
Record last updated: 5 Dec 2018

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.