Healthcare Provider Details

I. General information

NPI: 1669771523
Provider Name (Legal Business Name): DUNSEITH DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MAIN ST SW
DUNSEITH ND
58329
US

IV. Provider business mailing address

PO BOX 250
DUNSEITH ND
58329-0250
US

V. Phone/Fax

Practice location:
  • Phone: 701-244-0202
  • Fax: 701-244-0235
Mailing address:
  • Phone: 701-244-0202
  • Fax: 701-244-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR967
License Number StateND

VIII. Authorized Official

Name: CHRISTI RONDEAU
Title or Position: OWNER
Credential:
Phone: 701-477-0202