Organization
THEIGE DRUG INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF THEIGE RPH (OWNER)
(701) 746-1800
Entity
Organization
Contact information
Practice address
1395 S COLUMBIA RD, SUITE C, GRAND FORKS, ND 58201-4054
(701) 746-1800
(701) 746-4040
Mailing address
1395 S COLUMBIA RD, SUITE C, GRAND FORKS, ND 58201-4054
(701) 746-1800
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
332
ND
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21191
—
ND
01
—
3503720
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
513214200
—
MN
Enumeration date
02/27/2007
Last updated
03/07/2023
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