Healthcare Provider Details

I. General information

NPI: 1326059981
Provider Name (Legal Business Name): B & B DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 BURDICK EXPY W
MINOT ND
58701-4498
US

IV. Provider business mailing address

20 BURDICK EXPY W
MINOT ND
58701-4498
US

V. Phone/Fax

Practice location:
  • Phone: 701-838-2213
  • Fax: 701-838-2227
Mailing address:
  • Phone: 701-838-2213
  • Fax: 701-838-2227

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 Number161
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LANCE MOHL
Title or Position: DIRECTOR
Credential: B. SC. PHARMACY
Phone: 701-838-2213