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Organization
CENTRAL AVENUE PHARMACY, INC
Active
Organization
CENTRAL AVENUE PHARMACY, INC
Active
Other names
Central Avenue Pharmacy, Central Avenue Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PERKINS (OWNER/PRESIDENT)
(701) 252-3002
Entity
Organization
Contact information
Practice address
234 CENTRAL AVE N, VALLEY CITY, ND 58072-2951
(701) 845-5280
(701) 845-1847
Mailing address
234 CENTRAL AVE N, VALLEY CITY, ND 58072-2951
(701) 845-5280
(701) 845-1847
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHAR164
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21025
—
ND
Enumeration date
09/13/2017
Last updated
08/24/2026
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