Organization
CENTRAL AVENUE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN M. SAYLER R.PH. (PRESIDENT)
(701) 845-5280
Entity
Organization
Contact information
Practice address
323 CENTRAL AVE N, SUITE 101, VALLEY CITY, ND 58072-2915
(701) 845-5280
(701) 845-1847
Mailing address
323 CENTRAL AVE N, SUITE 101, VALLEY CITY, ND 58072-2915
(701) 845-5280
(701) 845-1847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
164
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21025
—
ND
Enumeration date
11/17/2006
Last updated
08/22/2020
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