Organization
WESTERN DAKOTA PHARMACY, INC.
Active
Organization
WESTERN DAKOTA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD GRATZ RPH (PRESIDENT)
(701) 572-7797
Entity
Organization
Contact information
Practice address
1102 MAIN ST, WILLISTON, ND 58801-4233
(701) 572-7797
(701) 572-0937
Mailing address
PO BOX 640, WILLISTON, ND 58802-0640
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
51
ND
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20176
—
ND
01
—
3501930
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/07/2006
Last updated
09/11/2025
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