| NPI | 1497767990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE R WENDEL Owner 701-652-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ND Phar786) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-01-22 |