Organization
UNIVERSITY OF NORTH DAKOTA
Active
Other names
UNIVERSITY OF NORTH DAKOTA STUDENT HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN CARLSON RPH (PHARMACIST IN CHRGE)
(701) 777-3965
Entity
Organization
Contact information
Practice address
2891 2ND AVE N STOP 9038, MCCANNEL HALL RM 100, GRAND FORKS, ND 58202-9038
(701) 777-3965
(701) 777-6129
Mailing address
MCCANNEL HALL RM 100, 2891 2ND AVE N STOP 9038, GRAND FORKS, ND 58202
(701) 777-3965
(701) 777-6129
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
116
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170540
—
ND
05
—
1740130
—
MN
01
—
2071244
PK
—
Enumeration date
12/23/2005
Last updated
04/28/2017
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