Healthcare Provider Details

I. General information

NPI: 1578383782
Provider Name (Legal Business Name): HANWEI ZHOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2024
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 32ND AVE S STE 1
GRAND FORKS ND
58201-3606
US

IV. Provider business mailing address

2475 32ND AVE S STE 1
GRAND FORKS ND
58201-3606
US

V. Phone/Fax

Practice location:
  • Phone: 701-775-4209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH6621
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: