| NPI | 1538262654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS LANG President 701-288-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: ND 92) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |