Organization
EDGELEY PHARMACY LLC
Active
Other names
Edgeley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CHURCHILL PHARMD (PRESIDENT)
(701) 224-0339
Entity
Organization
Contact information
Practice address
503 MAIN ST, STE B, EDGELEY, ND 58433-7119
(701) 493-2810
(701) 493-2263
Mailing address
PO BOX 25, EDGELEY, ND 58433-0025
(701) 493-2810
(701) 493-2263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
717
ND
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464337
—
ND
Enumeration date
02/08/2011
Last updated
08/27/2025
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