| NPI | 1285651984 |
|---|---|
| Doing Business As | BOTTINEAU CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LYLE LUTMAN Owner 701-256-3330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 653) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ND Phar653) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-03-07 |