IndividualActive
Brandon Botner
NPI 1801372776 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fargo, ND
Provider details
- NPI number
- 1801372776
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RPH6053 (ND)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 232-3241
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Elm St N
Fargo, ND 58102-2417
Registry dates
- Enumerated
- 2018-07-13
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.