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Organization
CLINIC PHARMACY INC
Active
Organization
CLINIC PHARMACY INC
Active
Other names
Clinic Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDI LEE OLLERMAN (PHARMD, OWNER)
(701) 227-8265
Entity
Organization
Contact information
Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 483-4401
(701) 483-4404
Mailing address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 483-4401
(701) 483-4404
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454568
—
ND
Enumeration date
01/29/2024
Last updated
02/14/2024
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