Organization
ST. ALEXIUS MANDAN PHARMACY, LLC
Active
Other names
St. Alexius Mandan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN SPERLE (PHARMACIST IN CHARGE)
(701) 214-1868
Entity
Organization
Contact information
Practice address
2500 SUNSET DRIVE NW, SUITE 2, MANDAN, ND 58554
(701) 530-3750
(701) 530-3788
Mailing address
2500 SUNSET DRIVE NW, SUITE 2, MANDAN, ND 58554
(701) 530-3750
(701) 530-3788
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
793
ND
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144895
PK
—
Enumeration date
04/08/2014
Last updated
05/15/2014
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