| NPI | 1093891095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY C. LARSEN Owner/President/Pharmacist 701-444-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 390) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-07-12 |