# PROFESSIONAL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043243272
- **Authorized official:** DR. DANIEL MOORE CHURCHILL PHARMD (PRESIDENT)
- **Authorized official phone:** (701) 224-0339

## Contact information

- **Practice address:** 3124 COLORADO LANE, \#400, BISMARCK, ND 58503
- **Practice address phone:** (701) 223-6854
- **Practice address fax:** (701) 223-6856
- **Mailing address:** 3124 COLORADO LN STE 400, BISMARCK, ND 58503-5446
- **Mailing address phone:** (701) 223-6854
- **Mailing address fax:** (877) 790-2139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 624 | ND | — |
| 3336C0003X | Community/Retail Pharmacy | 624 | ND | — |
| 3336L0003X | Long Term Care Pharmacy | 624 | ND | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1470429 | — | ND |