Provider Demographics
NPI:1508454992
Name:BUELIGEN, ABBY LORAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:LORAY
Last Name:BUELIGEN
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 1:2107 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56549-4413
Mailing Address - Country:US
Mailing Address - Phone:612-670-2237
Mailing Address - Fax:
Practice Address - Street 1:3301 HIGHWAY 10 E
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2516
Practice Address - Country:US
Practice Address - Phone:218-233-2953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH5794183500000X
MN122334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist