| NPI | 1740249929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA R LAUF Owner 701-883-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar150) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: ND Phar150) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ND Phar150) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ND Phar150) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-03-07 |