Organization
THE PRESCRIPTION SHOP INC
Active
Other names
THE PRESCRIPTION SHOP INC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HOLLAND B.S. RPH (PRESIDENT PIC)
(701) 282-4665
Entity
Organization
Contact information
Practice address
1210 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 282-4665
(701) 234-4391
Mailing address
1210 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 282-4665
(701) 234-4391
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR98
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20178
—
ND
01
—
2070740
PK
—
Enumeration date
09/15/2006
Last updated
02/22/2017
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