| NPI | 1477212116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANELL HAGEN Pharmacist/Owner 701-293-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2022-08-09 |