Organization
CROSBY DRUG LLC
Active
Other names
Crosby Drug
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GRATZ PHARMD (PARTNER/OWNER)
(701) 572-7979
Entity
Organization
Contact information
Practice address
30 MAIN STREET NORTH, CROSBY, ND 58730-0050
(701) 965-6671
(701) 965-6849
Mailing address
PO BOX 888, P.O. BOX 888, CROSBY, ND 58730-0861
(701) 965-6671
(701) 965-6849
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHAR949
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1466938
—
ND
01
—
2158067
PK
—
Enumeration date
01/21/2016
Last updated
04/05/2017
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