| NPI | 1487594263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE WENDEL Partner 701-652-5810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |