Organization
HERITAGE PHARMACY EAST INC
Active
Other names
Heritage Pharmacy Main
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KRISTENSEN (PHARMACIST)
(701) 751-6200
Entity
Organization
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 751-6200
(701) 751-2713
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 751-6200
(701) 751-2713
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
995
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469864
—
ND
01
—
2166898
PK
—
Enumeration date
01/17/2017
Last updated
05/01/2025
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