Organization
WHITE DRUG CO OF JAMESTOWN INC
Active
Other names
Thrifty White Pharmacy #085
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FROISTAD (LICENSING COORDINATOR)
(763) 513-4377
Entity
Organization
Contact information
Practice address
1532 32ND AVE S, FARGO, ND 58103-5987
(701) 478-8155
(701) 997-2126
Mailing address
6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
(763) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR424
BOARD OF PHARMACY
ND
Enumeration date
01/14/2022
Last updated
10/29/2024
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