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Organization
NORTH DAKOTA STATE UNIVERSITY
Active
Organization
NORTH DAKOTA STATE UNIVERSITY
Active
Parent organization
NORTH DAKOTA STATE UNIVERSITY
Other names
Family HealthCare Pharmacy, NDSU
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH DAKOTA STATE UNIVERSITY
Authorized official
JENNIFER IVERSON RPH (PHARMACIST IN CHARGE)
(701) 271-6383
Entity
Organization
Contact information
Practice address
301 NP AVENUE, FARGO, ND 58102
(701) 271-1489
Mailing address
301 NP AVENUE, FARGO, ND 58102
(701) 271-1489
(701) 271-3345
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
117
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456278
—
ND
05
—
707614200
—
MN
Enumeration date
10/17/2006
Last updated
08/24/2022
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