| NPI | 1881791721 |
|---|---|
| Doing Business As | PRAIRIE PHARMACY FA1 |
| Entity Type | Organization |
| Authorized Contact | DENNIS PAUL JOHNSON Owner/President 701-746-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 604) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-06-30 |