| NPI | 1275963308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA FLUHRER CEO 701-204-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y007401) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: SD 400-1704) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2025-06-24 |