| NPI | 1043260722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE ETHERINGTON Superintendent 701-253-3964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: ND 188) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-02-08 |