IndividualActive
Jessica Dietz, PHARMD
NPI 1710311675 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fargo, ND
Provider details
- NPI number
- 1710311675
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RPH5484 (ND)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 239-3700
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Elm St N
Fargo, ND 58102-2417
Registry dates
- Enumerated
- 2013-08-28
- Last updated
- 2013-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.