| NPI | 1821653577 |
|---|---|
| Doing Business As | CORNER DRUG STORE LTC |
| Entity Type | Organization |
| Authorized Contact | LUCAS GLARUM Pharmacist In Charge 701-642-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2024-05-07 |