Organization
NORTH DAKOTA STATE UNIVERSITY
Active
Other names
NDSU Student Health Service Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA FITZ PHARM D (PHARMACIST IN CHARGE)
(701) 231-7332
Entity
Organization
Contact information
Practice address
1707 CENTENNIAL BLVD, FARGO, ND 58102
(701) 231-7332
(701) 231-6132
Mailing address
NDSU DEPARTMENT 5150, PO BOX 6050, FARGO, ND 58108-6050
(701) 231-7332
(701) 231-6132
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHAR168
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070818
PK
—
05
—
21162ND
—
ND
Enumeration date
06/11/2006
Last updated
06/12/2015
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