Organization
SANGER INC
Active
Other names
Medical Pharmacy-West
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T. SANGER R.PH (PRESIDENT)
(701) 282-6510
Entity
Organization
Contact information
Practice address
4101 13TH AVE S, FARGO, ND 58103-3342
(701) 282-6510
Mailing address
4101 13TH AVE S, FARGO, ND 58103-3342
(701) 282-6510
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
146
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146
STATE BD OF PHARM #
ND
05
—
21051
—
ND
01
—
3503340
NAT'L ASS'N OF BD OF PHAR
—
Enumeration date
12/12/2006
Last updated
08/22/2020
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