Bismarck Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Bismarck, ND. Organization (NPI-2).
NPI number1922618289
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1922618289
- Entity type
- Organization (NPI-2)
- Legal business name
- Bismarck Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Bismarck Pharmacy (Doing Business As)
Practice location
1325 57th Ave NeBismarck, ND 58503-6581
Phone 701-415-7013 · Fax 701-415-7014
Mailing address
1325 57th Ave NeBismarck, ND 58503-6581
Phone 701-415-7013
Authorized official
Ricardo J Reyes
Owner/ President
7014157013
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