Organization
HOLIDAY PROFESSIONAL PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY RIXEN R.PH. (OWNER)
(701) 255-7220
Entity
Organization
Contact information
Practice address
1140 E BISMARCK EXPY, BISMARCK, ND 58504-6603
(701) 255-7220
(701) 255-6029
Mailing address
1140 E BISMARCK EXPY, BISMARCK, ND 58504-6603
(701) 255-7220
(701) 255-6029
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
100
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20680
—
ND
Enumeration date
06/01/2005
Last updated
08/22/2020
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