NPI | 1295778082 |
---|---|
Doing Business As | BEULAH DRUG COMPANY |
Entity Type | Organization |
Authorized Contact | WYATT ELDON MARTENSON Owner/PIC 701-873-5215 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ND PHAR145) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2021-09-14 |