Individual provider · Type 1 NPI

Madelyn Provost, PharmD

Pharmacist · Fargo, ND

NPI number 1639723232 Active

Practice location

2101 Elm St N
Fargo, ND 58102-2417

Mailing address

2760 47th St S, Apt 114
Fargo, ND 58104

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X124349 (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 1639723232

Madelyn Provost, PharmD's National Provider Identifier is 1639723232, issued on Jul 31, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fargo, ND. The record was last updated on Jul 31, 2019.