Healthcare Provider Details

I. General information

NPI: 1023036050
Provider Name (Legal Business Name): ECONOMY DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N MAIN ST
ELGIN ND
58533
US

IV. Provider business mailing address

201 N MAIN ST
ELGIN ND
58533
US

V. Phone/Fax

Practice location:
  • Phone: 701-584-2733
  • Fax: 701-584-2733
Mailing address:
  • Phone: 701-584-2733
  • Fax: 701-584-2733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number112
License Number StateND

VIII. Authorized Official

Name: CHARLES WAYNE OIEN
Title or Position: CHIEF PHARMACIST/PRESIDENT
Credential: PHARM D, RPH.
Phone: 701-584-2733