Organization
MIDWEST DRUG DISTRIBUTION INC
Active
Other names
Unit Pak
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LEE (PRESIDENT)
(701) 373-8500
Entity
Organization
Contact information
Practice address
4153 12TH AVE N, FARGO, ND 58102-2900
(701) 373-8500
(701) 373-8506
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(701) 373-8500
(701) 373-8506
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHAR946
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121010
PK
—
Enumeration date
07/07/2009
Last updated
06/10/2015
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