Healthcare Provider Details

I. General information

NPI: 1124064043
Provider Name (Legal Business Name): GRAFTON DRUG COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 HILL AVE
GRAFTON ND
58237-1443
US

IV. Provider business mailing address

501 HILL AVE
GRAFTON ND
58237-1443
US

V. Phone/Fax

Practice location:
  • Phone: 701-352-0831
  • Fax: 701-352-1910
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number34
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANIEL TEHOTT LAPP
Title or Position: PRESIDENT
Credential: RPH
Phone: 701-352-0217