| NPI | 1548276371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY KRISTENSEN Owner 701-530-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 154) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-08-24 |