St. Alexius Community Pharmacy
NPI #1750533709 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1750533709
- Entity Type
- Organization
- Organization Name
- St. Alexius Community Pharmacy
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST ALEXIUS MEDICAL CENTER
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 21, 2008
- Last Updated
- Jan 27, 2009
Practice Location
- Address
- 900 E BROADWAY AVE
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58501-4520
- Phone
- (701) 530-6906
Authorized Official
- Name
- MR. RICKY L DETWILLER, R.PH.
- Title
- DIRECTOR, OUTPATIENT PHARMACY SERV
- Phone
- (701) 530-6926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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