Organization
JKRX INC
Active
Organization
JKRX INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA BROSZ PHARMD (OWNER)
(701) 224-0175
Entity
Organization
Contact information
Practice address
1304 E BOULEVARD AVE, BISMARCK, ND 58501-4234
(701) 224-0175
(701) 224-1285
Mailing address
1304 E BOULEVARD AVE, BISMARCK, ND 58501-4234
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
761
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021486
—
ND
01
—
3502730
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
09/09/2025
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