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General NPI Number Information
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NPI Number | 1588021943
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Entity Type | Organization
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Legal Business Name | DAKOTA CLINIC PHARMACY LLC
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 3000 32ND AVE S
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City | FARGO
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State | ND
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Zip | 58103-6132
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Country | US
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Telephone | 701-364-7800
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Fax | 701-364-7808
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Provider Business Mailing Address
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Address Line | 1702 UNIVERSITY DR S
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City | FARGO
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State | ND
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Zip | 58103-4940
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Country | US
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Telephone | 701-364-3450
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Fax | 701-364-3382
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | LAURA MORRIS
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Credential |
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Telephone | 701-364-3450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR313
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License Number State | ND
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