IndividualActive
Kassandra Vettleson, PHARMD
NPI 1013762178 · Pediatric Pharmacist · Fargo, ND
Provider details
- NPI number
- 1013762178
- Entity type
- Individual
- Primary specialty
- Pediatric PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RRPH6259 (ND)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2701 13th Ave S
Fargo, ND 58103-3602
Phone: (701) 234-3642
Approximate (ZIP-level) locationGet directions
Mailing address
2764 11th St W
West Fargo, ND 58078-2467
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.