| NPI | 1114055324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM L ESSLER Manager 701-463-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ND 155) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-02-22 |