# UNIVERSITY OF NORTH DAKOTA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Family Medicine Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538428610
- **Authorized official:** BILLIE KRUSH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (701) 751-9500

## Contact information

- **Practice address:** 701 E ROSSER AVE, BISMARCK, ND 58501-4461
- **Practice address phone:** (701) 751-6800
- **Practice address fax:** (701) 751-6804
- **Mailing address:** 701 E ROSSER AVE, BISMARCK, ND 58501-4461
- **Mailing address phone:** (701) 751-6800
- **Mailing address fax:** (701) 751-6804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | PHAR680 | ND | Yes |

## Other

- **Enumeration date:** 05/10/2012
- **Last updated:** 09/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1456172 | — | ND |
| 01 | — | 2135060 | PK | — |