Organization
UNIVERSITY OF NORTH DAKOTA
Active
Other names
Center for Family Medicine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE KRUSH (DIRECTOR OF PHARMACY)
(701) 751-9500
Entity
Organization
Contact information
Practice address
701 E ROSSER AVE, BISMARCK, ND 58501-4461
(701) 751-6800
(701) 751-6804
Mailing address
701 E ROSSER AVE, BISMARCK, ND 58501-4461
(701) 751-6800
(701) 751-6804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
PHAR680
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456172
—
ND
01
—
2135060
PK
—
Enumeration date
05/10/2012
Last updated
09/30/2016
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