| NPI | 1336237346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN STRAUS Owner 701-642-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 54) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-09-10 |