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Organization

CENTRAL PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHANE R WENDEL PHARM.D. (OWNER)
(701) 652-2651
Entity
Organization

Contact information

Practice address
990 MAIN ST, CARRINGTON, ND 58421-2024
(701) 652-2651
(701) 652-1882
Mailing address
990 MAIN ST, CARRINGTON, ND 58421-2024
(701) 652-2651
(701) 652-1882

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy
PHAR786
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3502146
NCPDP
ND
Enumeration date
08/12/2006
Last updated
01/22/2016
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