| NPI | 1255486908 |
|---|---|
| Doing Business As | MOTT DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | CHARLES OIEN Owner 701-824-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 552) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-07-17 |