Organization
PRESCRIPTION CENTER PHARMACY INC.
Active
Other names
Southpointe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DOUGLAS JACOBSON (PRESIDENT)
(701) 238-0395
Entity
Organization
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-9912
(701) 297-0807
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-9912
(701) 297-0807
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456717
—
ND
05
—
21068
—
ND
Enumeration date
01/05/2006
Last updated
04/20/2021
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