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Organization
UNIVERSITY OF NORTH DAKOTA
Active
Organization
UNIVERSITY OF NORTH DAKOTA
Active
Other names
Center for Family Medicine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE KRUSH (DIRECTOR OF PHARMACY)
(701) 751-9500
Entity
Organization
Contact information
Practice address
701 E ROSSER AVE, BISMARCK, ND 58501-4461
(701) 751-6800
(701) 751-6804
Mailing address
701 E ROSSER AVE, BISMARCK, ND 58501-4461
(701) 751-6800
(701) 751-6804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
PHAR680
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456172
—
ND
01
—
2135060
PK
—
Enumeration date
05/10/2012
Last updated
09/30/2016
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