# UNIVERSITY OF NORTH DAKOTA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNIVERSITY OF NORTH DAKOTA STUDENT HEALTH PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790762318
- **Authorized official:** COLLEEN CARLSON RPH (PHARMACIST IN CHRGE)
- **Authorized official phone:** (701) 777-3965

## Contact information

- **Practice address:** 2891 2ND AVE N STOP 9038, MCCANNEL HALL RM 100, GRAND FORKS, ND 58202-9038
- **Practice address phone:** (701) 777-3965
- **Practice address fax:** (701) 777-6129
- **Mailing address:** MCCANNEL HALL RM 100, 2891 2ND AVE N STOP 9038, GRAND FORKS, ND 58202
- **Mailing address phone:** (701) 777-3965
- **Mailing address fax:** (701) 777-6129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | 116 | ND | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 04/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1170540 | — | ND |
| 05 | — | 1740130 | — | MN |
| 01 | — | 2071244 | PK | — |