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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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