Organization
ROLLA DRUG INC
Active
Other names
ROLLA DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MCATEE REG.PHARM. (PIC)
(701) 477-3174
Entity
Organization
Contact information
Practice address
117 MAIN AVE E, ROLLA, ND 58367-7124
(701) 477-3174
(701) 477-3378
Mailing address
PO BOX 819, ROLLA, ND 58367-0819
(701) 477-3174
(701) 477-3378
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR120
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455240
—
ND
01
—
2070917
PK
—
Enumeration date
08/10/2006
Last updated
11/18/2016
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