Organization
WW INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS WILHELM RPH (OWNER PHARMACIST)
(701) 293-3060
Entity
Organization
Contact information
Practice address
1605 UNIVERSITY DR S, FARGO, ND 58103-4154
(701) 293-3060
(701) 293-3061
Mailing address
1605 UNIVERSITY DR S, FARGO, ND 58103-4154
(701) 293-3060
(701) 293-3061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0135
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21047
—
ND
01
—
3503326
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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