Organization
ECONOMY DRUG MOTT INC
Active
Other names
MOTT DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES OIEN (OWNER)
(701) 824-2897
Entity
Organization
Contact information
Practice address
216 BROWN AVE, MOTT, ND 58646-7100
(701) 824-8297
Mailing address
PO BOX 279, 216 BROWN AVE, MOTT, ND 58646
(701) 824-2897
(701) 824-4321
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
552
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020116
—
ND
01
—
2070905
PK
—
Enumeration date
01/24/2007
Last updated
07/17/2013
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