Individual provider · Type 1 NPI

Jeffrey Lynn Theige, R.PH.

Pharmacist · Grand Forks, ND

NPI number 1063718773 Active

Practice location

1395 S Columbia Rd Ste C
Grand Forks, ND 58201-4054

Fax (701) 746-4040

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X3678 (ND)
Pharmacist 183500000X113894 (MN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063718773

Jeffrey Lynn Theige, R.PH.'s National Provider Identifier is 1063718773, issued on Jan 28, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Forks, ND. The record was last updated on Jan 28, 2011.