NPI | 1245754548 |
---|---|
Doing Business As | QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITY |
Entity Type | Organization |
Authorized Contact | DELAND J DAVIS CFO 701-477-6111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 183500000X Pharmacist |
Enumeration Date | 2017-07-28 |
Last Update Date | 2017-07-28 |