Organization
NEW SALEM PHARMACY LLC
Active
Other names
NEW SALEM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CHURCHILL PHARMD (PRESIDENT)
(701) 224-0339
Entity
Organization
Contact information
Practice address
509 ASH AVE, NEW SALEM, ND 58563-4501
(701) 843-7563
(701) 843-7564
Mailing address
PO BOX H, NEW SALEM, ND 58563-0426
(701) 843-7563
(701) 843-7564
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHAR768
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137202
PK
—
Enumeration date
11/07/2006
Last updated
09/02/2022
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