Organization
KENMARE DRUG
Active
Organization
KENMARE DRUG
Active
Other names
Kenmare Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ESSLER RPH (OWNER)
(701) 385-4257
Entity
Organization
Contact information
Practice address
109 1ST AVE NW, KENMARE, ND 58746-7165
(701) 385-4257
(701) 385-4258
Mailing address
PO BOX 895, KENMARE, ND 58746-0895
(701) 385-4257
(701) 385-4258
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR49
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020091
—
ND
01
—
2070884
PK
—
Enumeration date
02/26/2007
Last updated
01/18/2017
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