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Organization

ALTRU HEALTH SYSTEM

Active
Other names
Altru Retail Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DEREK GOEBEL (DIRECTOR)
(701) 780-1470
Entity
Organization

Contact information

Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
1200 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206
(701) 780-5000

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy

Other

Enumeration date
02/02/2007
Last updated
02/10/2025
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