| NPI | 1043243272 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL MOORE CHURCHILL President 701-224-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: ND 624) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: ND 624) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ND 624) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-04-15 |