NPI | 1811031511 |
---|---|
Doing Business As | ELLENDALE PHARMACY |
Entity Type | Organization |
Authorized Contact | THOMAS ULMER Owner 701-349-3390 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar17) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2013-07-31 |