Organization
DEVELOPMENTAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA AUKLAND (ASSISTANT CFO - DHS)
(701) 328-4924
Entity
Organization
Contact information
Practice address
701 WEST 6TH STREET, GRAFTON, ND 58237
(701) 352-4216
(701) 352-4439
Mailing address
701 WEST 6TH STREET, GRAFTON, ND 58237
(701) 352-4216
(701) 352-4439
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
169
ND
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
169
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21294
—
ND
01
—
3500899
NCPDP
—
Enumeration date
10/02/2006
Last updated
12/10/2020
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