# MD PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M-D Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740938935
- **Authorized official:** DR. DUSTIN CHARLES GROFF PHARMD, RPH (OWNER / PHARMACIST)
- **Authorized official phone:** (701) 364-5690

## Contact information

- **Practice address:** 4101 13TH AVE S STE S, FARGO, ND 58103-2108
- **Practice address phone:** (701) 364-5690
- **Practice address fax:** (701) 235-6159
- **Mailing address:** 4101 13TH AVE S STE S, FARGO, ND 58103-2108
- **Mailing address phone:** (701) 364-5690
- **Mailing address fax:** (701) 235-6159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 03/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3505445 | NABP | — |