Whitehead, Dale R

Whitehead, Dale R is an individual health care provider with primary practice located at 420 Center Ave Moorhead Drug Co, Moorhead MN 56560. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Whitehead, Dale R can be contacted via phone (218) 233-1529.

Contact Information

Primary practice address
420 Center Ave Moorhead Drug Co Moorhead MN 56560
Phone: (218) 233-1529
Fax: (218) 233-8917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 113896 Minnesota
Pharmacy Service Providers / Pharmacist 183500000X 3764 North Dakota

Profile Details

NPI number 1396877221
LBN Legal business name Whitehead, Dale R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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