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General NPI Number Information
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NPI Number | 1205231990
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Entity Type | Organization
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Legal Business Name | N D PHARMACY INC
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 1283 ROUGHRIDER BLVD
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City | DICKINSON
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State | ND
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Zip | 58601-6780
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Country | US
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Telephone | 701-483-0724
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Fax | 701-483-1882
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Provider Business Mailing Address
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Address Line | 446 18TH ST W SUITE 2
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City | DICKINSON
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State | ND
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Zip | 58601-3022
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Country | US
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Telephone | 701-483-0724
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Fax | 701-483-1882
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT TREITLINE
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Credential | RPH
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Telephone | 701-225-4434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR323
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License Number State | ND
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