Healthcare Provider Details

I. General information

NPI: 1962349910
Provider Name (Legal Business Name): PAULA STROM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 S BROADWAY STE 113
MINOT ND
58701-4636
US

IV. Provider business mailing address

831 S BROADWAY STE 113
MINOT ND
58701-4636
US

V. Phone/Fax

Practice location:
  • Phone: 701-857-3550
  • Fax:
Mailing address:
  • Phone: 701-857-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH5126
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: