Organization
CLINIC PHARMACY INC
Active
Other names
Clinic Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDI LEE OLLERMAN (PHARMD, OWNER)
(701) 227-8265
Entity
Organization
Contact information
Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 483-4401
(701) 483-4404
Mailing address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 483-4401
(701) 483-4404
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454568
—
ND
Enumeration date
01/29/2024
Last updated
02/14/2024
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