| NPI | 1013018910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN F MARTIAN Pharmacist Owner 701-223-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ND 70) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: ND PHAR70) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-05-20 |