Laci R Ahrens, PHARMD
Individual provider Active NPI Pharmacist · Bismarck, ND
NPI 1457915019 · NPPES record last updated Apr 29, 2019
Key facts
- NPI
- 1457915019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4973 (ND)
- Practice address
- 3101 N 11TH St
Bismarck, ND 58503-0594 - Phone
- (701) 224-9521
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4973 | ND | MD | Gastroenterology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4973 | ND | Yes |
Addresses
Primary practice location
3101 N 11TH St
Bismarck, ND 58503-0594
Mailing address
3101 N 11TH St
Bismarck, ND 58503-0594
Phone (701) 224-9521
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2019. 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.