Organization
CENTRAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE R WENDEL PHARM.D. (MANAGER)
(701) 947-5313
Entity
Organization
Contact information
Practice address
4 8TH ST N, NEW ROCKFORD, ND 58356-1518
(701) 947-5313
(701) 947-5377
Mailing address
4 8TH ST N, NEW ROCKFORD, ND 58356-1518
(701) 947-5313
(701) 947-5377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
PHAR787
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3503415
NCPDP
ND
Enumeration date
08/12/2006
Last updated
01/22/2016
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