NPI | 1871829028 |
---|---|
Doing Business As | ALTRU CLINIC PHARMACY - FAMILY MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | KELLY HULST President/Owner 701-795-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 264525) |
Additional Taxonomies | 333600000X Pharmacy (Licence: ND Phar959) |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2009-10-22 |
Last Update Date | 2022-03-03 |