Organization
LINSON PHARMACY, LTD
Active
Other names
LINSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BOEHNING RPH (PHARMACY DIRECTOR)
(701) 293-6022
Entity
Organization
Contact information
Practice address
3175 25TH ST S, FARGO, ND 58103-6171
(701) 293-6022
(701) 293-6040
Mailing address
3175 25TH ST S, FARGO, ND 58103-6171
(701) 293-6022
(701) 293-6040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHAR6
ND
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
261023
MN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2071414
PK
—
05
—
21131
—
ND
05
—
721062100
—
MN
Enumeration date
07/20/2006
Last updated
08/05/2016
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