Organization
MAYO PHARMACY INC
Active
Other names
Mayo Pharmacy (LTC)
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN F MARTIAN (OWNER)
(701) 223-2424
Entity
Organization
Contact information
Practice address
303 N 4TH ST, BISMARCK, ND 58501-4020
(701) 223-2424
(701) 258-2849
Mailing address
303 N 4TH ST, BISMARCK, ND 58501-4020
(701) 223-2424
(701) 258-2849
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454036
—
ND
Enumeration date
01/30/2020
Last updated
06/18/2020
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