Organization
CASSELTON DRUG INC.
Active
Other names
CASSELTON HEALTH MART DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN NELSON (OWNER)
(701) 347-4281
Entity
Organization
Contact information
Practice address
622 FRONT ST, CASSELTON, ND 58012-3300
(701) 347-4281
(701) 347-5275
Mailing address
PO BOX 250, CASSELTON, ND 58012-0250
(701) 347-4281
(701) 347-5275
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
230
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070755
PK
—
05
—
21424
—
ND
Enumeration date
10/06/2005
Last updated
07/18/2016
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