Organization
CLINIC PHARMACY INC
Active
Other names
clinic pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI OLLERMAN (PHARMACIST/OWNER)
(701) 227-8265
Entity
Organization
Contact information
Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 483-4401
(701) 483-4404
Mailing address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 483-4401
(701) 483-4404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR86
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139892
PK
—
Enumeration date
08/31/2006
Last updated
01/30/2024
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