Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Grueneich

Individual provider Pharmacist · NPI 1073951950

Justin Grueneich is a Pharmacist in Fargo, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2013.

Licensed in
MN, ND
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

4255 30th Ave S
Fargo, ND 58104-8427
Phone: (701) 478-8122
Fax: (701) 478-8127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH5639 (ND)
Pharmacist Taxonomy 183500000X · Licence 119577 (MN)

Record details

NPI number1073951950
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2013
Last updated in NPPESJune 15, 2021
Certification dateJune 1, 2021
Mailing address107 E Lincoln Ave, Fergus Falls, MN 56537-2216

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