| NPI | 1720020324 |
|---|---|
| Doing Business As | YE OLDE MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | LAURIE LARSON Presdient 701-284-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar59) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-07-19 |