| NPI | 1619151206 |
|---|---|
| Doing Business As | GLEN ULLIN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL MOORE CHURCHILL President 701-224-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 789) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2022-09-02 |