NPI | 1386275121 |
---|---|
Doing Business As | MAYO PHARMACY (LTC) |
Entity Type | Organization |
Authorized Contact | KEVIN F MARTIAN Owner 701-223-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-06-18 |