Maari Lynn Loy

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fargo, ND

NPI 1194412809 · NPPES record last updated Apr 21, 2023

Key facts

NPI
1194412809
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
5293 (ND)
Practice address
3000 32ND Ave S
Fargo, ND 58103-6132
Phone
(701) 364-8143
NPI assigned
Apr 21, 2023
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

State licenses

LicenseStateTypeSpecialty
5293NDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5293 ND Yes

Addresses

Primary practice location

3000 32ND Ave S
Fargo, ND 58103-6132

Mailing address

1052 Morningside CT
Casselton, ND 58012-3707

Other providers in Fargo, ND

All providers in Fargo, ND · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Dakota

Sources for this page

Verify at the official NPI Registry.