| NPI | 1982859617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDINA BJORNSTAD Pharmacy Technician 701-968-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |