Organization
WHITE DRUG CO OF JAMESTOWN INC
Active
Other names
WHITE DRUG #61
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FROISTAD (LICENSING COORDINATOR)
(763) 513-4377
Entity
Organization
Contact information
Practice address
706 38TH ST N, UNIT A, FARGO, ND 58102-2953
(701) 893-9050
(701) 893-9053
Mailing address
6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
(763) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
054.018687
IL
3336L0003X
Long Term Care Pharmacy
Primary
1409
AK
3336L0003X
Long Term Care Pharmacy
22-44533
KS
3336L0003X
Long Term Care Pharmacy
27263
FL
3336L0003X
Long Term Care Pharmacy
35705MS
ID
3336L0003X
Long Term Care Pharmacy
3722
IA
3336L0003X
Long Term Care Pharmacy
64001649A
IN
3336L0003X
Long Term Care Pharmacy
A9-0001464
DE
3336L0003X
Long Term Care Pharmacy
ND1839
KY
3336L0003X
Long Term Care Pharmacy
NRP1463
CA
3336L0003X
Long Term Care Pharmacy
NRX0000521
DC
3336L0003X
Long Term Care Pharmacy
OSP.0006440
CO
3336L0003X
Long Term Care Pharmacy
PCN.0002714
CT
3336L0003X
Long Term Care Pharmacy
PHNR001011
GA
3336L0003X
Long Term Care Pharmacy
PMP-987
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455652 RX
—
ND
05
—
1460158 DME
—
ND
01
—
2071512
PK
—
05
—
924692000
—
MN
Enumeration date
10/13/2006
Last updated
10/29/2024
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