Lisa J.W. Borreson, PHARM.D., R.PH.
Individual provider Active NPI Pharmacist · Williston, ND
NPI 1013062363 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013062363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4829 (ND)
- Practice address
- 317 Main
Williston, ND 58801 - Phone
- (701) 572-6721
- Fax
- (701) 572-6723
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4829 | ND | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4829 | ND | Yes |
Addresses
Primary practice location
317 Main
Williston, ND 58801
Mailing address
4921 Valley View Dr
Williston, ND 58801
Phone (701) 572-4965
Other providers in Williston, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.