| NPI | 1093134017 |
|---|---|
| Doing Business As | ST. ALEXIUS MANDAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRISTEN SPERLE Pharmacist In Charge 701-214-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 793) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-05-15 |