| NPI | 1528062312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSEL KRUGER Owner 701-663-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy (Licence: ND 67) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-22 |