Organization
DAKOTA DRUG COMPANY OF STANLEY
Active
Other names
Dakota Drug Co Stanley
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY DICK BS (RPH,VP)
(701) 628-2255
Entity
Organization
Contact information
Practice address
107 S MAIN ST, STANLEY, ND 58784-4003
(701) 628-2255
(701) 628-2396
Mailing address
107 S MAIN ST, PO BOX 460, STANLEY, ND 58784-4003
(701) 628-2255
(701) 628-2396
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR27
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1458601
—
ND
01
—
2122398
PK
—
Enumeration date
08/20/2006
Last updated
02/28/2017
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