| NPI | 1326291238 |
|---|---|
| Doing Business As | HERITAGE PHARMACY GATEWAY MALL INC |
| Entity Type | Organization |
| Authorized Contact | LUCAS HOECHST Owner 701-530-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ND PHAR779) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2017-04-19 |