NPI | 1407946338 |
---|---|
Doing Business As | WALLS MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | DENNIS PAUL JOHNSON President/Owner 701-746-0497 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-06-11 |