Organization
GRAND FORKS CLINIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN G FINSTROM (MANAGER)
(701) 772-4875
Entity
Organization
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 772-4875
(701) 780-6577
Mailing address
1000 S COLUMBIA RD, P.O. BOX 13115, GRAND FORKS, ND 58201-4032
(701) 772-4875
(701) 780-6577
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
46
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20066
—
ND
Enumeration date
07/11/2006
Last updated
08/22/2020
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