| NPI | 1376632067 |
|---|---|
| Doing Business As | WALLS HEALTH MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DENNIS PAUL JOHNSON Owner President 701-746-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 264179) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar815) |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-10-01 |