Organization
MS4 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANELL HAGEN (PHARMACIST/OWNER)
(701) 293-0221
Entity
Organization
Contact information
Practice address
8001 JACKS WAY STE 101, HORACE, ND 58047-2802
(701) 997-5337
(701) 997-5338
Mailing address
8001 JACKS WAY STE 101, HORACE, ND 58047-2802
(701) 997-5337
(701) 997-5338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
08/09/2022
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