Provider Demographics
NPI:1073916094
Name:ALIMIN, MARCELA (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:MARCELA
Middle Name:
Last Name:ALIMIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 11TH ST W
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-5159
Mailing Address - Country:US
Mailing Address - Phone:701-774-3923
Mailing Address - Fax:701-774-8731
Practice Address - Street 1:300 11TH ST W
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-5159
Practice Address - Country:US
Practice Address - Phone:701-774-3923
Practice Address - Fax:701-774-8731
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-04
Last Update Date:2014-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH5725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist