| NPI | 1992345391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA HOWE Pharmacist 701-866-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-05-27 |