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General NPI Number Information
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NPI Number | 1881791721
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Entity Type | Organization
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Legal Business Name | NORTH PRARIE PHARMACIES LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 4731 13TH AVE S
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City | FARGO
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State | ND
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Zip | 58103-7269
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Country | US
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Telephone | 701-373-0325
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Fax | 701-373-0327
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Provider Business Mailing Address
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Address Line | 4731 13TH AVE S
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City | FARGO
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State | ND
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Zip | 58103-7269
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Country | US
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Telephone | 701-373-0325
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Fax | 701-373-0327
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | LESLIE SATTERLUND
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Credential | RPH
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Telephone | 701-373-0325
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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 | 604
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License Number State | ND
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