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Organization

MD PHARMACY LLC

Active
Other names
M-D Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUSTIN CHARLES GROFF PHARMD (OWNER / PHARMACIST)
(701) 364-5690
Entity
Organization

Contact information

Practice address
4101 13TH AVE S STE S, FARGO, ND 58103-2108
(701) 364-5690
(701) 356-4996
Mailing address
4101 13TH AVE S, SUITE S, FARGO, ND 58103-3342
(701) 364-5690
(701) 356-4996

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHAR843
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396184750
MN
05
1450561
ND
Enumeration date
06/19/2013
Last updated
05/17/2025
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