Paul Michael Fluto, RPH
Individual provider Active NPI Pharmacist · Mooehead, MN
NPI 1972814846 · NPPES record last updated Jun 25, 2010
Key facts
- NPI
- 1972814846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 112564 (MN)
- Practice address
- 3000 Hwy 10 East
Mooehead, MN 56560 - Phone
- (218) 236-5268
- Fax
- (218) 233-6799
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112564 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 112564 | MN | Yes |
Addresses
Primary practice location
3000 Hwy 10 East
Mooehead, MN 56560
Mailing address
3000 Highway 10 E
Moorhead, MN 56560-2515
Phone (218) 236-5268
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2010. 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.