Organization
PROFESSIONAL PHARMACY LLC
Active
Other names
Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MOORE CHURCHILL PHARMD (PRESIDENT)
(701) 224-0339
Entity
Organization
Contact information
Practice address
3124 COLORADO LANE, #400, BISMARCK, ND 58503
(701) 223-6854
(701) 223-6856
Mailing address
3124 COLORADO LN STE 400, BISMARCK, ND 58503-5446
(701) 223-6854
(877) 790-2139
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
624
ND
3336C0003X
Community/Retail Pharmacy
624
ND
3336L0003X
Long Term Care Pharmacy
Primary
624
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470429
—
ND
Enumeration date
07/09/2006
Last updated
08/20/2025
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