NPI | 1265504054 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | LYNN GUSTAFSON Owner Pharmacist 701-663-1151 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: ND 620) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2023-03-07 |