Organization
NEW SALEM PHARMACY LLC
Active
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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