| NPI | 1063140010 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | LANELL HAGEN Pharmacist/Owner 701-293-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |