Organization
CONVENIENT CARE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C NORDQUIST (AUTHORIZED OFFICIAL)
(701) 793-1415
Entity
Organization
Contact information
Practice address
505 32ND AVE E, WEST FARGO, ND 58078-8489
(701) 532-1731
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2565
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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