Healthcare Provider Details

I. General information

NPI: 1992995575
Provider Name (Legal Business Name): BRIANA D FLUHRER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3103 YORKTOWN DR
BISMARCK ND
58503-8526
US

IV. Provider business mailing address

PO BOX 994
BISMARCK ND
58502-0994
US

V. Phone/Fax

Practice location:
  • Phone: 701-425-0789
  • Fax:
Mailing address:
  • Phone: 701-425-0789
  • Fax: 701-751-6180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH5021
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: