| NPI | 1770029613 |
|---|---|
| Doing Business As | HERITAGE PHARMACY MAIN |
| Entity Type | Organization |
| Authorized Contact | ANDREW KRISTENSEN Pharmacist 701-530-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 995) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-04-19 |