NPI | 1013029024 |
---|---|
Doing Business As | CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | BRANDI OLLERMAN Pharmacist/Owner 701-227-8265 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND PHAR86) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-01-30 |