Organization
CHURCHILL PHARMACY HOLDING INC.
Active
Other names
CHURCHILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CHURCHILL PHARMD (PIC)
(701) 224-0339
Entity
Organization
Contact information
Practice address
1190 W TURNPIKE AVE, BISMARCK, ND 58501-1300
(701) 224-0339
(701) 224-0534
Mailing address
1190 W TURNPIKE AVE STE 2, SUITE 2, BISMARCK, ND 58501-1300
(701) 224-0339
(701) 224-0534
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR767
ND
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2071343
PK
—
05
—
21492
—
ND
Enumeration date
06/11/2006
Last updated
09/02/2022
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