# CENTRAL AVENUE PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Avenue Pharmacy, Central Avenue Health Mart Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932628633
- **Authorized official:** MATTHEW PERKINS (OWNER/PRESIDENT)
- **Authorized official phone:** (701) 252-3002

## Contact information

- **Practice address:** 234 CENTRAL AVE N, VALLEY CITY, ND 58072-2951
- **Practice address phone:** (701) 845-5280
- **Practice address fax:** (701) 845-1847
- **Mailing address:** 234 CENTRAL AVE N, VALLEY CITY, ND 58072-2951
- **Mailing address phone:** (701) 845-5280
- **Mailing address fax:** (701) 845-1847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHAR164 | ND | Yes |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 08/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 21025 | — | ND |