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 |