NPI 1053709725

Max Whitney Stork, PHARMD

Practitioner Pharmacist Grand Forks, ND

Practice location

Address: 1000 South Columbia Road, Grand Forks, ND 58201
Phone: (701) 780-5150
Mailing address: PO Box 6002, Grand Forks, ND 58201-6002

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5593 (ND)

Other Pharmacist providers in North Dakota →

Registry record

NPI: 1053709725
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2015
Record last updated: 5 Jan 2015

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.