# WHITE DRUG CO OF JAMESTOWN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WHITE DRUG \#61
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003906942
- **Authorized official:** ANNE BRADER (CFO)
- **Authorized official phone:** (763) 513-4300

## Contact information

- **Practice address:** 706 38TH ST N STE A, FARGO, ND 58102-2953
- **Practice address phone:** (701) 893-9050
- **Practice address fax:** (701) 893-9053
- **Mailing address:** 6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
- **Mailing address phone:** (763) 513-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 054.018687 | IL | — |
| 3336L0003X | Long Term Care Pharmacy | 1409 | AK | Yes |
| 3336L0003X | Long Term Care Pharmacy | 22-44533 | KS | — |
| 3336L0003X | Long Term Care Pharmacy | 27263 | FL | — |
| 3336L0003X | Long Term Care Pharmacy | 35705MS | ID | — |
| 3336L0003X | Long Term Care Pharmacy | 3722 | IA | — |
| 3336L0003X | Long Term Care Pharmacy | 64001649A | IN | — |
| 3336L0003X | Long Term Care Pharmacy | A9-0001464 | DE | — |
| 3336L0003X | Long Term Care Pharmacy | ND1839 | KY | — |
| 3336L0003X | Long Term Care Pharmacy | NRP1463 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | NRX0000521 | DC | — |
| 3336L0003X | Long Term Care Pharmacy | OSP.0006440 | CO | — |
| 3336L0003X | Long Term Care Pharmacy | PCN.0002714 | CT | — |
| 3336L0003X | Long Term Care Pharmacy | PHNR001011 | GA | — |
| 3336L0003X | Long Term Care Pharmacy | PMP-987 | HI | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 07/31/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1455652 RX | — | ND |
| 05 | — | 1460158 DME | — | ND |
| 01 | — | 2071512 | PK | — |
| 05 | — | 924692000 | — | MN |