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Organization
NORTH DAKOTA DOCR PHARMACY
Active
Organization
NORTH DAKOTA DOCR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH P JOHNSON RPH (DIRECTOR OF PHARMACY)
(701) 328-6389
Entity
Organization
Contact information
Practice address
3100 RAILROAD AVENUE, BISMARCK, ND 58506-5521
(701) 328-6389
(701) 328-6391
Mailing address
PO BOX 5521, 3100 RAILROAD AVENUE, BISMARCK, ND 58506-5521
(701) 328-6389
(701) 328-6391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3397
ND
3336I0012X
Institutional Pharmacy
Primary
—
NULL
Other
Enumeration date
01/09/2007
Last updated
12/04/2009
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