| NPI | 1376566059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES OLIG Owner 701-234-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 1) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |