Organization
MANDAN DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL KRUGER (OWNER)
(701) 663-5900
Entity
Organization
Contact information
Practice address
316 W MAIN ST # 398, MANDAN, ND 58554-3144
(701) 663-5900
(701) 663-5311
Mailing address
316 W MAIN ST # 398, MANDAN, ND 58554-3144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
67
ND
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20801
—
ND
01
—
3501283
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/09/2005
Last updated
09/11/2025
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