| NPI | 1144368085 |
|---|---|
| Doing Business As | FAMILY MEDICINE RESIDENCY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOELLEN MCGAUVRAN Supervisor 701-780-6870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: ND Phar477) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2016-08-05 |