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Organization
NORTH DAKOTA STATE UNIVERSITY
Active
Organization
NORTH DAKOTA STATE UNIVERSITY
Active
Other names
NDSU Student Health Service Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA FITZ PHARM D (PHARMACIST IN CHARGE)
(701) 231-7332
Entity
Organization
Contact information
Practice address
1707 CENTENNIAL BLVD, FARGO, ND 58102
(701) 231-7332
(701) 231-6132
Mailing address
NDSU DEPARTMENT 5150, PO BOX 6050, FARGO, ND 58108-6050
(701) 231-7332
(701) 231-6132
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHAR168
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070818
PK
—
05
—
21162ND
—
ND
Enumeration date
06/11/2006
Last updated
06/12/2015
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