Healthcare Provider Details

I. General information

NPI: 1982859617
Provider Name (Legal Business Name): NEUMANN DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 11/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 MAIN STREET - BOX 459
CANDO ND
58324-0459
US

IV. Provider business mailing address

PO BOX 459 412 MAIN ST
CANDO ND
58324-0459
US

V. Phone/Fax

Practice location:
  • Phone: 701-968-3531
  • Fax:
Mailing address:
  • Phone: 701-968-3531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RANDINA BJORNSTAD
Title or Position: PHARMACY TECHNICIAN
Credential:
Phone: 701-968-3531