# ST. ALEXIUS MEDICAL CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. ALEXIUS MEDICAL CENTER
- **Other names:** St Alexius Medical Center Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447500566
- **Legal business name:** ST. ALEXIUS MEDICAL CENTER
- **Authorized official:** MR. GARY MILLER (CEO)
- **Authorized official phone:** (701) 530-7610

## Contact information

- **Practice address:** 900 E BROADWAY AVE, BISMARCK, ND 58506-5510
- **Practice address phone:** (701) 530-6922
- **Practice address fax:** (701) 530-6948
- **Mailing address:** 900 E BROADWAY AVE, BISMARCK, ND 58506-5510
- **Mailing address phone:** (701) 530-6922
- **Mailing address fax:** (701) 530-6948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 190 | ND | — |
| 3336I0012X | Institutional Pharmacy | 190 | ND | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 09/17/2012