Organization
HERITAGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE ROBERT KRISTENSEN R.PH. (CHIEF PHARMACISTS)
(701) 530-6050
Entity
Organization
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 530-6050
(701) 530-6417
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 530-6050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
141
ND
Other
Enumeration date
07/22/2006
Last updated
08/23/2012
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