Organization
MS4 PLLC
Active
Other names
The Medicine Shoppe Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
LANELL HAGEN (PHARMACIST/OWNER)
(701) 293-0221
Entity
Organization
Contact information
Practice address
4476 31ST AVE S STE 105, FARGO, ND 58104-4532
(701) 639-6969
Mailing address
4476 31ST AVE S STE 105, FARGO, ND 58104-4532
(701) 639-6969
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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