Organization
METRO DRUG CO
Active
Other names
METRO DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD NELSON RPH (OWNER)
(701) 232-6150
Entity
Organization
Contact information
Practice address
123 BROADWAY N, FARGO, ND 58102-4925
(701) 232-6150
(701) 232-5216
Mailing address
123 BROADWAY N, FARGO, ND 58102-4925
(701) 232-6150
(701) 232-5216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
87
ND
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2071258
PK
—
05
—
20787
—
ND
Enumeration date
12/11/2006
Last updated
06/09/2014
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