Provider Demographics
NPI:1083028724
Name:GERMAN, DENISE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:GERMAN
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 1:422 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:OAKES
Mailing Address - State:ND
Mailing Address - Zip Code:58474-1637
Mailing Address - Country:US
Mailing Address - Phone:701-742-2118
Mailing Address - Fax:701-742-3101
Practice Address - Street 1:422 MAIN AVE
Practice Address - Street 2:
Practice Address - City:OAKES
Practice Address - State:ND
Practice Address - Zip Code:58474-1637
Practice Address - Country:US
Practice Address - Phone:701-742-2118
Practice Address - Fax:701-742-3101
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH6041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist