# WALLS LTC PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982927406
- **Authorized official:** LESLIE SATTERLUND RPH (OWNER/SECRETARY)
- **Authorized official phone:** (701) 738-0804

## Contact information

- **Practice address:** 1322 8TH AVE S, GRAND FORKS, ND 58201
- **Practice address phone:** (701) 738-0804
- **Practice address fax:** (701) 738-0406
- **Mailing address:** 1322 8TH AVE S, GRAND FORKS, ND 58201-4354
- **Mailing address phone:** (701) 738-0804
- **Mailing address fax:** (701) 738-0806

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2010
- **Last updated:** 09/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1456006 | — | ND |
| 05 | — | 198282746 | — | MN |
| 01 | — | 263545 | MINNESOTA STATE LISC | MN |
| 01 | — | 961 | STATE PHARMACY LISCENCE | ND |
