Healthcare Provider Details

I. General information

NPI: 1447177613
Provider Name (Legal Business Name): ELIZABELL DELGADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 33RD ST SW
FARGO ND
58103-3413
US

IV. Provider business mailing address

1871 17TH AVE N APT 208
WAHPETON ND
58075-3117
US

V. Phone/Fax

Practice location:
  • Phone: 701-235-5511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH6748
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: