Healthcare Provider Details

I. General information

NPI: 1245289669
Provider Name (Legal Business Name): SHERIE M. REIMCHE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BURDICK EXPY E
MINOT ND
58701-4768
US

IV. Provider business mailing address

16100 19TH AVE NW
BURLINGTON ND
58722-9538
US

V. Phone/Fax

Practice location:
  • Phone: 701-857-7900
  • Fax: 701-857-7834
Mailing address:
  • Phone: 701-725-4358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4483
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: