Organization
WHITE DRUG CO OF JAMESTOWN INC
Active
Other names
THRIFTY WHITE PHARMACY #068
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FROISTAD (LICENSING COORDINATOR)
(763) 513-4377
Entity
Organization
Contact information
Practice address
4255 30TH AVE S, FARGO, ND 58104-8427
(701) 478-8953
(701) 478-8954
Mailing address
6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
(763) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
PHAR702
ND
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
264128
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455675 RX
—
ND
05
—
1456217 DME
—
ND
05
—
1730369711
—
MN
01
—
2071622
PK
—
Enumeration date
11/07/2007
Last updated
10/29/2024
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