Organization
MD PHARMACY LLC
Active
Other names
M-D Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN CHARLES GROFF PHARMD, RPH (OWNER / PHARMACIST)
(701) 364-5690
Entity
Organization
Contact information
Practice address
4101 13TH AVE S STE S, FARGO, ND 58103-2108
(701) 364-5690
(701) 235-6159
Mailing address
4101 13TH AVE S STE S, FARGO, ND 58103-2108
(701) 364-5690
(701) 235-6159
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3505445
NABP
—
Enumeration date
03/16/2022
Last updated
03/10/2025
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