Provider Demographics
NPI:1659756054
Name:NOVAK, BRITTANY K (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:K
Last Name:NOVAK
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 1:333 HURLBUT ST
Mailing Address - Street 2:
Mailing Address - City:CROOKSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56716-1934
Mailing Address - Country:US
Mailing Address - Phone:701-331-1551
Mailing Address - Fax:
Practice Address - Street 1:206 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CROOKSTON
Practice Address - State:MN
Practice Address - Zip Code:56716-1743
Practice Address - Country:US
Practice Address - Phone:218-281-2540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist