| NPI | 1962436113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN G FINSTROM Manager 701-772-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 46) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |