| NPI | 1932628633 |
|---|---|
| Doing Business As | CENTRAL AVENUE HEALTH MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOREEN MAE SAYLER President 701-845-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ND Phar164) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |