Corner Drug Store of Wahpeton INC
NPI #1134345457 in Wahpeton, North Dakota
Provider Information
- NPI Number
- 1134345457
- Entity Type
- Organization
- Organization Name
- Corner Drug Store of Wahpeton INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Mar 13, 2024
Practice Location
- Address
- 619 DAKOTA AVE
- City
- Wahpeton
- State
- North Dakota
- ZIP Code
- 58075-4325
- Phone
- (701) 642-6223
Authorized Official
- Name
- LUCAS BRADLEY GLARUM, PHARM.D
- Title
- PHARMACIST IN CHARGE
- Phone
- (701) 642-6223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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