| NPI | 1568552404 |
|---|---|
| Doing Business As | WHITE DRUG #58 |
| Entity Type | Organization |
| Authorized Contact | ANNE FROISTAD Licensing COO Rdinator 763-513-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ND PHAR219) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-08-17 |