| NPI | 1649329632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH P JOHNSON Director Of Pharmacy 701-328-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 3397) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-12-04 |