Organization
WISHEK DRUG
Active
Other names
WISHEK DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA AIPPERSPACH RPH (OWNER)
(701) 452-2368
Entity
Organization
Contact information
Practice address
9 S CENTENNIAL ST, WISHEK, ND 58495-7216
(701) 452-2368
(701) 452-2399
Mailing address
PO BOX 217, WISHEK, ND 58495-0217
(701) 454-2236
(701) 452-2399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
493
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2071267
PK
—
05
—
21343
—
ND
Enumeration date
07/13/2006
Last updated
07/20/2016
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