Organization
MIDWEST DRUG DISTRIBUTION INC
Active
Other names
Midwest Pharmacy of Fargo
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LEE RPH. (PHARMACIST N CHARGE)
(701) 373-8504
Entity
Organization
Contact information
Practice address
4153 12 TH AVE. NORTH SUITE B, FARGO, ND 58102
(701) 373-8504
(701) 373-8506
Mailing address
4153 12 TH AVE. NORTH SUITE B, FARGO, ND 58102
(701) 373-8504
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
951
ND
Other
Enumeration date
09/04/2009
Last updated
04/22/2010
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