| NPI | 1770626004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK CHARLES JOHNSON Pharmacist In Charge 701-364-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 134) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |