# CLINIC PHARMACY INC

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

## Provider details

- **NPI number:** 1770345225
- **Authorized official:** DR. BRANDI LEE OLLERMAN (PHARMD, OWNER)
- **Authorized official phone:** (701) 227-8265

## Contact information

- **Practice address:** 2615 FAIRWAY ST, DICKINSON, ND 58601-2590
- **Practice address phone:** (701) 483-4401
- **Practice address fax:** (701) 483-4404
- **Mailing address:** 2615 FAIRWAY ST, DICKINSON, ND 58601-2590
- **Mailing address phone:** (701) 483-4401
- **Mailing address fax:** (701) 483-4404

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 02/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1454568 | — | ND |