Ms4 PLLC
Pharmacy, Long Term Care Pharmacy in Fargo, ND. Organization (NPI-2).
NPI number1063140010
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1063140010
- Entity type
- Organization (NPI-2)
- Legal business name
- Ms4 PLLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2022
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- The Medicine Shoppe Long Term Care (Doing Business As)
Practice location
4476 31st Ave S Ste 105Fargo, ND 58104-4532
Phone 701-639-6969
Mailing address
4476 31st Ave S Ste 105Fargo, ND 58104-4532
Phone 701-639-6969
Authorized official
Lanell Hagen
Pharmacist/Owner
7012930221
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