Healthcare Provider Details

I. General information

NPI: 1417945080
Provider Name (Legal Business Name): FORMAN DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 MAIN ST S
FORMAN ND
58032-4001
US

IV. Provider business mailing address

PO BOX 35
FORMAN ND
58032-0035
US

V. Phone/Fax

Practice location:
  • Phone: 701-724-6222
  • Fax: 701-724-3842
Mailing address:
  • Phone: 701-724-6222
  • Fax: 701-724-3842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR19
License Number StateND
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NATHAN SCHLECHT
Title or Position: OWNER
Credential: RPH
Phone: 701-724-6222