Provider Demographics
NPI:1639253024
Name:LINDGREN, RUTH F (RPH)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:F
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4821 28TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MADDOCK
Mailing Address - State:ND
Mailing Address - Zip Code:58348-9121
Mailing Address - Country:US
Mailing Address - Phone:701-438-2787
Mailing Address - Fax:
Practice Address - Street 1:4 8TH ST N
Practice Address - Street 2:
Practice Address - City:NEW ROCKFORD
Practice Address - State:ND
Practice Address - Zip Code:58356-1518
Practice Address - Country:US
Practice Address - Phone:701-947-5313
Practice Address - Fax:701-947-5377
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist