Organization
JOHNSON DRUG CO
Active
Other names
Northport Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL J KUPFER RPH (PHARMACIST IN CHARGE OWNER)
(701) 235-5543
Entity
Organization
Contact information
Practice address
2522 N BROADWAY, FARGO, ND 58102
(701) 235-5543
(701) 298-0112
Mailing address
2522 N BROADWAY, FARGO, ND 58102
(701) 235-5543
(701) 298-0112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021296
—
ND
01
—
3502689
NABP
ND
Enumeration date
12/05/2006
Last updated
08/22/2020
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