| NPI | 1982927406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PAUL JOHNSON President/Owner 701-738-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2024-06-07 |