NPI 1063718773

Jeffrey Lynn Theige, RPH

Practitioner Pharmacist Grand Forks, ND

Practice location

Address: 1395 S Columbia Rd STE C, Grand Forks, ND 58201-4054
Phone: (701) 746-1800
Fax: (701) 746-4040

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3678 (ND)

Other Pharmacist providers in North Dakota →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 113894 (MN)

Registry record

NPI: 1063718773
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2011
Record last updated: 28 Jan 2011

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.