Karley J Lantz, PHARMD
Individual provider Active NPI Pharmacist · Trenton, ND
NPI 1942975974 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1942975974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH6340 (ND)
- Practice address
- 331 4TH Ave E
Trenton, ND 58853-9998 - Phone
- (701) 572-6201
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| RPH6340 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larsen Service Drug Inc | Past |
Accepting new patients | |
| Larsen Service Drug, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH6340 | ND | Yes |
Addresses
Primary practice location
331 4TH Ave E
Trenton, ND 58853-9998
Mailing address
244 N Main St
Watford City, ND 58854-7122
Other practice location 1
244 N Main St
Watford City, ND 58854-7122
Phone (701) 444-2410
Other providers in Trenton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. 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.