NPI | 1205036027 |
---|---|
Doing Business As | CENTER FOR FAMILY MEDICINE PHARMACY |
Entity Type | Organization |
Authorized Contact | KATHERINE F KLEIN Pharmacy Director 701-858-6755 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2007-07-19 |
Last Update Date | 2021-08-25 |