| NPI | 1801328133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BUCK Pharm D 701-757-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar242) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-07-21 |